DR. SRINI V SUNDARUM (NPI# 1669438339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669438339 |
| Entity Type | Individual |
| Full Name | DR. SRINI V SUNDARUM |
| Credential | M.D., M.P.H. |
| Practice Address |
3315 S 23rd St Suite 200 Tacoma WA 98405-1605 |
| Practice Telephone | 2532729994 |
| Practice Fax Number | 2535720468 |
| Mailing Telephone | 2532729994 |
| Mailing Fax Number | 2535720468 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00036043 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | ECFMG | 04563177 | 01 |
| WA | STATE LICENSE | MD00036043 | 01 |
| WA | LABOR & INDUSTRIES | 121911 | 01 |
| WA | DEA | BS4125983 | 01 |
| WA | 8225245 | 05 |
| Street Address |
3315 S 23RD ST SUITE 200 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044049 | Lisa M Ralston | Physical Therapist | 3315 S 23rd St, Suite 210, Tacoma, WA 98405-1605 | 2005-09-20 |
| 1760927875 | Carlee Hayes | Dietitian, Registered | 3315 S 23rd St, Ste 210, Tacoma, WA 98405-1605 | 2016-12-28 |
| 1477916849 | Steven Eeftink X | Physical Therapist | 3315 S 23rd St, Ste 210, Tacoma, WA 98405-1605 | 2016-04-01 |
| 1437565462 | Ann Marie Casey | Physical Therapist | 3315 S 23rd St, 3315 S 23rd St, Tacoma, WA 98405-1605 | 2014-07-10 |
| 1043643422 | Melissa Jennings Fabry | Physical Therapist | 3315 S 23rd St, Suite 210, Tacoma, WA 98405-1605 | 2013-08-20 |
| 1083046270 | United Behavioral Health | Case Management | 3315 S 23rd St, Tacoma, WA 98405-1605 | 2013-07-30 |
| 1811337066 | Brittney Monae Hjelseth | Dietitian, Registered | 3315 S 23rd St, Suite 210, Tacoma, WA 98405-1605 | 2013-07-02 |
| 1093053183 | Shin-chiao Fang | Physical Therapist | 3315 S 23rd St, Suite 210, Tacoma, WA 98405-1605 | 2013-01-23 |
| 1609128453 | Myra J Kurtz | Contractor | 3315 S 23rd St, Ste 210, Tacoma, WA 98405-1605 | 2012-10-03 |
| 1073809224 | Kashif Saeed | Physical Medicine & Rehabilitation | 3315 S 23rd St, Suite 200, Tacoma, WA 98405-1616 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568911196 | Sheila Strecker | Specialist | 3518 6th Ave Ste 200, Tacoma, WA 98406-5419 | 2016-09-23 |
| 1356898530 | Nikita D Schipper | Specialist | 504 Garfield St S, Tacoma, WA 98444-3628 | 2016-09-06 |
| 1437513637 | Bridgette Burdyshaw | Specialist | 438 E 60th St, Tacoma, WA 98404-1926 | 2016-04-13 |
| 1326408410 | Kristina Baker | Specialist | 1310 S Union Ave Ste A202, Tacoma, WA 98405-1907 | 2016-03-02 |
| 1598130130 | Bethany Joy Gehrke | Specialist | 1601 N 8th St, Tacoma, WA 98403-1013 | 2015-12-08 |
| 1346613791 | Angela Jane King | Specialist | 913 N Frace St, Tacoma, WA 98406-2121 | 2015-11-06 |
| 1518364140 | Maria Margarita Celis | Specialist | 1011 S M St, Tacoma, WA 98405-3653 | 2014-11-25 |
| 1497151419 | Kaelyn Heath | Specialist | 6502 19th St Ne, Tacoma, WA 98422-3701 | 2014-11-18 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1265841175 | Valentine Yoga Therapy, LLC | Specialist | 420 S 35th St, Tacoma, WA 98418-6822 | 2014-08-05 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.