Doctor Name: | SARITHA DHRUVAKUMAR |
NPI Number: | 1316109515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036121805 |
Business Practice Address: | 2211 Ne 139th St Vancouver, WA - 986862742 |
Business Phone Number: | 3604871000 |
Business Fax Number: | |
Mailing Address: | 2211 Ne 139th St, VANCOUVER |
State: | WA |
Postal Code: | 986862742 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/28/2008 |
NPI Last Update Date: | 08/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 036121805 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |