Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD61040173 | WA |
NPI | 1003254186 |
---|---|
Provider Name | Dr. Claudio Andres Bravo Carrillo |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-1753 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2013 |
Last Update Date | 07/05/2020 |