Individual
SELVASARAVANAKUMAR NAVANEETHAKRISHNANPOOVANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
835 SE BISHOP BLVD, PULLMAN, WA 99163-5512
(509) 336-7300
Mailing address
1502,WEST COVINGTON CT, APT#5, PEORIA, IL 61614-5838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-050-110
IL
207R00000X
Internal Medicine Physician
Primary
MD60097885
WA
208000000X
Pediatrics Physician
125-050-110
IL
Other
Enumeration date
05/22/2007
Last updated
07/18/2025
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