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Subathra Selvaraj, MD
Family Medicine Physician in Everett, Washington
NPI 1215298492

Subathra Selvaraj is a Family Medicine Physician based in Everett, WA. Subathra Selvaraj practices in Everett, WA and has the professional credentials of MD. The NPI Number for Subathra Selvaraj is 1215298492 and holds a License No. 125061203 (Washington).

The current practice location address for Subathra Selvaraj is 3901 Hoyt Ave, Everett, WA and can be reached out via phone at 425-339-5456 and via fax at 425-303-3091.

Location: 3901 Hoyt Ave, Everett, WA, 98206-5127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215298492
Provider Name
Subathra Selvaraj
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3901 Hoyt Ave, Everett, WA, 98206-5127
Phone Number
425-339-5456
Fax Number
425-303-3091
Provider Enumeration Date
06/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2049470 05 WA
institution
Provider Business Practice Location Address Details
Address
3901 Hoyt Ave
City
Everett
State
Washington
Zip
98201-4918
Phone Number
425-339-5456
Fax Number
425-303-3091
person
Provider Business Mailing Address Details
Address
3901 Hoyt Ave
City
Everett
State
Washington
Zip
98201-4918
Phone Number
425-339-5456
Fax Number
425-303-3091
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD60586414 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125061203 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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