Individual
DR. MINI SPOORTHI SUSHMA VELAGAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 112TH AVE NE, BELLEVUE, WA 98004-5815
(425) 637-1855
(425) 344-7970
Mailing address
222 112TH AVE NE, BELLEVUE, WA 98004-5815
(425) 637-1855
(425) 344-7970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD432327
PA
207R00000X
Internal Medicine Physician
Primary
MD60250989
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679763544
—
WA
01
—
P01054370
RAILROAD MEDICARE
WA
Enumeration date
07/27/2007
Last updated
08/09/2012
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