Individual
DR. BAHIRATHAN KRISHNADASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 YAKIMA AVE, SUITE 102, TACOMA, WA 98405-4499
(253) 272-7777
(253) 426-4142
Mailing address
1802 YAKIMA AVE, SUITE 102, TACOMA, WA 98405-4499
(253) 272-7777
(253) 426-4142
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD00041594
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8431710
—
WA
Enumeration date
10/25/2006
Last updated
12/22/2014
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