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NPI Code Detail

MEDICARE: VENKATA ANAND AVINASH PUNYAPU MD

MEDICARE:   VENKATA ANAND AVINASH PUNYAPU  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
1207R00000XInternal Medicine PhysicianMD60055108WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265461446
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENKATA ANAND AVINASH PUNYAPU MD
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number : 206-520-5700
Fax Number :
Provider Business Practice Location Address
First Line : 4915 25TH AVE NE STE 300W
Second Line :
City : SEATTLE
State : WA
Zip : 98105-5668
Country : US
Telephone Number : 206-520-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 11/15/2022

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Directions to “ VENKATA ANAND AVINASH PUNYAPU MD” Practice Location

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