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NPI Code Detail

MEDICARE: DINESH THEKKE KARUMATHIL MD

MEDICARE: DINESH THEKKE KARUMATHIL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician60070930WA

General Provider Information

NPI Number : 1578753802
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINESH THEKKE KARUMATHIL MD
Provider Business Mailing Address
First Line : 1101 MADISON ST STE 800
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1307
Country : US
Telephone Number : 206-215-2700
Fax Number :
Provider Business Practice Location Address
First Line : 1101 MADISON ST STE 800
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1307
Country : US
Telephone Number : 206-215-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2007
Last Update Date : 11/08/2009

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Directions to “ DINESH THEKKE KARUMATHIL MD” Practice Location

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