Individual
MADHURIMA HOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 697-4000
Mailing address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 697-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61370014
WA
Other
Enumeration date
06/25/2020
Last updated
11/24/2025
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