Individual
DR. SAMBASIVARAO VENKATA KARANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
827 E. WATER ST.,, # B, SOUTH BEND, WA 98586-1166
(425) 766-1614
Mailing address
PO BOX 1166, 827 E. WATER STREET # B, SOUTH BEND, WA 98586-1166
(425) 766-1614
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00021462
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7105240
—
WA
Enumeration date
07/19/2006
Last updated
03/11/2011
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