Individual
DR. SATYAVARDHAN PULUKURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2709 HEMLOCK ST, BREMERTON, WA 98310-2623
(360) 782-6000
(206) 965-4119
Mailing address
2709 HEMLOCK ST, BREMERTON, WA 98310-2623
(360) 782-6000
(206) 965-4119
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00046428
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD00046428
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021738
—
WA
05
—
8453888
—
WA
Enumeration date
07/07/2006
Last updated
12/08/2020
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