Praveen Kumar Mambalam, M.D.
NPI #1790942886 in Edmonds, Washington
Provider Information
- NPI Number
- 1790942886
- Entity Type
- Individual
- Name
- Praveen Kumar Mambalam, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Anesthesiology - Pain Medicine
- Credential
- M.D.
- Enumeration Date
- May 17, 2008
- Last Updated
- May 23, 2023
Practice Location
- Address
- 21616 76TH AVE W
- Address 2
- STE 102
- City
- Edmonds
- State
- Washington
- ZIP Code
- 98026-7512
- Phone
- (425) 774-1538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
Additional Practice Locations
155 Lilly Rd NE Ste B
Olympia, WA, 98506-5028
(206) 538-6300
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