Individual
DR. SHREE KRISHNA SUBEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD195622
OR
2085R0202X
Diagnostic Radiology Physician
13406
ND
2085R0202X
Diagnostic Radiology Physician
57914
MN
2085R0202X
Diagnostic Radiology Physician
MD195622
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60993530
WA
2085R0202X
Diagnostic Radiology Physician
R3227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0414629
L&I-TRA PIERCE
WA
01
—
0414630
L&I-TRA KING
WA
01
—
0414631
L&I-UAOM
WA
01
—
0414632
L&I-DINW
WA
05
—
2141551
—
WA
Enumeration date
11/14/2008
Last updated
08/30/2024
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