Individual
SANDHEEP VENKATARAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 5TH ST SE STE 200, PUYALLUP, WA 98372-4683
(253) 697-8200
(253) 697-8220
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD61157862
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2016
Last updated
03/21/2024
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