Adithya Krishna Sona Vegaraju, MD
Internal Medicine in Seattle, WA. Individual provider (NPI-1).
NPI number1245084045
StatusActive
Last updated in NPPESApr 25, 2024
Details
- NPI
- 1245084045
- Entity type
- Individual (NPI-1)
- Name
- Adithya Krishna Sona Vegaraju
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2024
- Certification date
- Apr 25, 2024
- Last updated
- Apr 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 61545612 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | WA |
Other names
- Adithya Vegaraju (Professional Name)
Practice location
1959 Ne Pacific Street Box 356421Seattle, WA 98195-6421
Phone 206-543-3605
Mailing address
1959 Ne Pacific Street Box 356421Seattle, WA 98195-6421
Phone 206-543-3605
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