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Individual

DR. KIRANMAYI BULUSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(253) 426-6341
(253) 426-6344
Mailing address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(253) 426-6341
(253) 426-6344

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD60380704
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2029539
WA
Enumeration date
11/24/2010
Last updated
01/20/2021
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