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SUSEELA V NARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6881
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 515-5811

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00040430
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039576
LABOR AND INDUSTRIES #
WA
01
4117NA
BLUE SHIELD #
WA
05
8290330
WA
01
US2608262
AETNA SPECIALIST PIN
WA
Enumeration date
10/01/2006
Last updated
02/29/2024
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