Phavikone Sundara, ACUPUNCTURIST

NPI 1366631483 · on the registry since 2007 · sole proprietor

Practice

Address: 22000 Marine View Dr S Ste 202
Des Moines, WA 98198
Phone: (206) 321-0120
Organisation at this address: Im&G Pllc
Highline Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 171100000X
171100000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington