PRAVEEN KUMAR MAMBALAM M.D.
Individual Provider (NPI-1)
Active
Anesthesiology, Pain Medicine
Provider Information
- NPI Number
1790942886- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 21616 76TH AVE W STE 102, EDMONDS, WA, 980267512
- Phone
- (425) 774-1538
- Fax
- (425) 744-1527
Specialties & Taxonomies
Anesthesiology, Pain Medicine
Primary License: WA #MD 00049423