Individual
ADITYA PANDU SUNIDJA
Active
Individual
ADITYA PANDU SUNIDJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
235938
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD60082442
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252135
LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
WA
05
—
2001567
—
WA
01
—
G8882744
PTAN-TRA PIERCE CO
WA
01
—
G8882901
PTAN-UAOM
WA
01
—
G8883121
PTAN-MIO1
WA
01
—
G8883319
PTAN-TRA KING CO
WA
01
—
R174972
PTAN-PENDLETON, OREGON
WA
Enumeration date
02/05/2009
Last updated
09/03/2024
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