Most Relevant Information
Provider Data
| NPI Number: | 1003202870 |
| Provider Name: | PADHMA VENKITAPATHY |
| Entity Type: | Individual |
| Taxonomy Code: | 213ES0103X |
| Specialty: | Podiatrist |
| License Number: | PO60841435 |
Most Important Dates
| Enumeration Date: | 04/08/2015 |
| Last Updated: | 09/25/2019 |
Provider Practice Location
10555 SE CARR RD
RENTON
WA
98055
Practice Location Phone/Fax
| Phone: | 4256903510 |
| Fax: | 4256909510 |
Provider Mailing Location
3600 LIND AVE SW
SUITE 100 ATTN CREDENTIALING
RENTON
WA
980574970
Provider Mailing Phone/Fax
| Phone: | 4256902715 |
| Fax: |
Suggested EMR
Podiatry EMR