Individual
SUNDARA R SAMAVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10416 5TH AVE NE, SEATTLE, WA 98125-7402
(206) 517-6700
Mailing address
10416 5TH AVE NE, SEATTLE, WA 98125-7402
(206) 517-6700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041631
WA
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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