Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRAVEEN KUMAR MAMBALAM, M.D.
ActivePRAVEEN KUMAR MAMBALAM, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in EDMONDS, Washington. NPI 1790942886 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · EDMONDS, WA
Registration Details
- NPI Number
- 1790942886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2008 (18.280733364823 yrs)
- Last Updated
- May 23, 2023
- License
-
MD 00049423 (WA)
Practice Information
- Address
-
21616 76TH AVE WSTE 102EDMONDS, WA, 980267512Browse WA providers · Browse ZIP 98026
- Phone
- 4257741538
- Fax
- 4257441527
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
Other Pain Medicine (Anesthesiology) Providers in EDMONDS, WA
| Name | Credential | NPI |
|---|---|---|
| DR. RAJNI K JUTLA | MD | 1467564484 |
| BRENDAN RHODES O'DONNELL | — | 1114017068 |
| HOWARD JOHN QUINT | M.D. | 1497984850 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.