Individual
DR. MADHANKUMAR KUPPUSAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FRCS (C-TH)
Contact information
Practice address
1100 9TH AVE FL 6, SEATTLE, WA 98101-2756
(206) 341-0060
Mailing address
1100 9TH AVE FL 6, MS: C6-GS, SEATTLE, WA 98101-2756
(206) 341-0060
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
TR60751395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TR60751395
WA LICENSE
WA
Enumeration date
08/16/2017
Last updated
07/21/2022
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