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NPI Code Detail

MEDICARE: SANDHYA VENUGOPAL PA-C

MEDICARE: SANDHYA VENUGOPAL PA-C
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
1363A00000XPhysician AssistantPA70039976WA

General Provider Information

NPI Number : 1073472908
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDHYA VENUGOPAL PA-C
Provider Business Mailing Address
First Line : 23320 HIGHWAY 99
Second Line :
City : EDMONDS
State : WA
Zip : 98026-8744
Country : US
Telephone Number : 425-789-3789
Fax Number :
Provider Business Practice Location Address
First Line : 23320 HIGHWAY 99
Second Line :
City : EDMONDS
State : WA
Zip : 98026-8744
Country : US
Telephone Number : 425-789-3789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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1932364239 — DOUGLAS B PRATHER RDH
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Directions to “ SANDHYA VENUGOPAL PA-C” Practice Location

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