Ajitha R. Palukuru
Geriatric Medicine
2930 Maple St
Everett
, Washington 98201-3832
Ajitha R. Palukuru
Geriatric Medicine
2930 Maple St
Everett
, Washington 98201-3832
(425) 261-1515
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Ajitha R. Palukuru
- 2930 Maple St
- Everett, WA
- Zip : 98201-3832
- Fax : (425) 261-1515
- Phone : (425) 261-1500
Second Address
- Ajitha R. Palukuru
- 2930 Maple St
- Everett, WA
- Zip : 98201-3832
- Phone : (425) 261-1500
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | MD00044123 | WA |
National Provider Identifier
| NPI | 1164578704 |
|---|---|
| Provider Name | Ajitha R. Palukuru |
| First Address | Everett, WA 98201-3832 |
| Second Address | Everett, WA 98201-3832 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2007 |
| Last Update Date | 28/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8449480 | (05) | WA |
| I51475 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.