Individual
VRUNDA SHARAD KELKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61049235
WA
208M00000X
Hospitalist Physician
Primary
MD61049235
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2159485
—
WA
Enumeration date
08/22/2017
Last updated
03/29/2021
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