Individual
SUMAN JAYADEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-2340
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00044012
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8408163
—
WA
Enumeration date
03/01/2007
Last updated
10/22/2007
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