Individual
DR. AJITHA KOMMALAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 13TH ST, EVERETT, WA 98201-1621
(425) 297-5560
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019021495
MO
208M00000X
Hospitalist Physician
Primary
2019021495
MO
208M00000X
Hospitalist Physician
Primary
MD61579216
WA
Other
Enumeration date
06/17/2016
Last updated
04/09/2026
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