Individual
VENKATARAMAN SAMBASIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Contact information
Practice address
1200 N 14TH AVE STE 295, PASCO, WA 99301-4195
(509) 547-2413
Mailing address
1200 N 14TH AVE STE 295, PASCO, WA 99301-4195
(509) 547-2413
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00030872
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7051089
—
WA
Enumeration date
08/08/2006
Last updated
07/08/2007
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