Individual
GURUMEENAL KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7315 212TH ST SW STE 205, EDMONDS, WA 98026-7610
(425) 776-6999
(425) 776-9899
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD60452859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036539
—
WA
Enumeration date
04/10/2008
Last updated
02/28/2022
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