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Dr. Sambasivarao Venkata Karanam, MD
General Practice Physician in South Bend, Washington
NPI 1487673679

Sambasivarao Venkata Karanam is a General Practice Physician based in South Bend, WA. Sambasivarao Venkata Karanam practices in South Bend, WA and has the professional credentials of MD. The NPI Number for Sambasivarao Venkata Karanam is 1487673679 and holds a License No. MD00021462 (Washington).

The current practice location address for Sambasivarao Venkata Karanam is 827 E. Water St.,, South Bend, WA and can be reached out via phone at 425-766-1614.

Location: 827 E. Water St.,, South Bend, WA, 98586-1166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487673679
Provider Name
Sambasivarao Venkata Karanam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
827 E. Water St.,, South Bend, WA, 98586-1166
Phone Number
425-766-1614
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7105240 05 WA
institution
Provider Business Practice Location Address Details
Address
827 E. Water St.,
City
South Bend
State
Washington
Zip
98586-1166
Phone Number
425-766-1614
Fax Number
person
Provider Business Mailing Address Details
Address
827 E. Water St.,
City
South Bend
State
Washington
Zip
98586-1166
Phone Number
425-766-1614
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD00021462 (Washington)
Definition
Definition to come...
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