Individual
SUMANGALA VASUDEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1909 214TH ST SE STE 211, BOTHELL, WA 98021-4418
(425) 420-1650
(425) 420-1651
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD60290541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113562700
—
MD
Enumeration date
12/05/2009
Last updated
07/21/2022
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