Individual
HARITHA VANKIREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8910 VERNON RD, LAKE STEVENS, WA 98258-2400
(425) 397-1704
(425) 335-5145
Mailing address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 397-1704
(425) 335-5145
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD00040573
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8360448
—
WA
Enumeration date
06/01/2006
Last updated
09/29/2022
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