Individual
PRAKASH GATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3124 S 19TH ST STE C220, TACOMA, WA 98405-2481
(253) 301-5050
Mailing address
3124 S 19TH ST STE C220, TACOMA, WA 98405-2481
(253) 301-5050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60164736
WA
Other
Enumeration date
06/06/2007
Last updated
11/27/2013
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