DEEPTHIKA ENNAMURI

BELLEVUE, WA
NPI1285195941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD61325378)
Enumeration Date2019-03-26
Last Update Date2022-12-06
Business Address
DEEPTHIKA ENNAMURI MD
1200 112TH AVE NE STE B100
BELLEVUE, WA 98004-3751
Phone number: 425-462-1132
Mailing Address
DEEPTHIKA ENNAMURI MD
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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