Individual
DR. MENAKA UMAPATHY PRAKASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13231 SE 36TH ST, SUITE 110, BELLEVUE, WA 98006-7321
(425) 957-9000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60162855
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0283161
L&I
WA
05
—
1609027259
—
WA
Enumeration date
10/01/2008
Last updated
03/11/2016
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