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Individual

DR. PRAKASH NEDUVELIL PURUSHOTHAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-6956
(206) 288-1119
Mailing address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-6956
(206) 288-1119

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
FE60071855
WA

Other

Enumeration date
03/31/2009
Last updated
03/31/2009
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