PRAVEEN KUMAR MAMBALAM

EDMONDS, WA
NPI1790942886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207LP2900X Anesthesiology Pain Medicine
(Licence: WA  MD 00049423)
Enumeration Date2008-05-17
Last Update Date2023-05-23
Business Address
PRAVEEN KUMAR MAMBALAM M.D.
21616 76TH AVE W STE 102
EDMONDS, WA 98026-7512
Phone number: 425-774-1538
Mailing Address
PRAVEEN KUMAR MAMBALAM M.D.
PO BOX 827
BELLEVUE, WA 98009-0827
Phone number: 425-774-1538
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