Individual
POORNIMA KRISHNAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
735 12TH ST SE, AUBURN, WA 98002-4400
(253) 876-7990
(253) 876-7991
Mailing address
735 12 TH ST SE, AUBURN, WA 98002
(253) 876-7990
(253) 876-7991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60114667
WA
Other
Enumeration date
08/23/2007
Last updated
10/02/2017
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