Individual
KIRANMAAYI DOMMALAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
244243
MA
208M00000X
Hospitalist Physician
Primary
MD60688823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086777A
—
MA
Enumeration date
11/12/2007
Last updated
06/10/2021
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