Individual
DR. THOMAS P SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 116TH AVE NE, SUITE E, BELLEVUE, WA 98004-3817
(425) 250-1145
(425) 823-6028
Mailing address
11811 NE 128TH STREET, SUITE 202, KIRKLAND, WA 98034
(425) 250-1145
(425) 823-6028
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00034763
WA
2085R0202X
Diagnostic Radiology Physician
MD213922
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8248510
—
WA
Enumeration date
07/24/2006
Last updated
04/17/2023
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