Provider Demographics
NPI:1396199071
Name:ARUDKUMARAN, DHARSCIKA (MD)
Entity Type:Individual
Prefix:
First Name:DHARSCIKA
Middle Name:
Last Name:ARUDKUMARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DHARSCIKA
Other - Middle Name:
Other - Last Name:ANANDACOOMARASWAMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:19322 133RD ST SE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-7893
Mailing Address - Country:US
Mailing Address - Phone:917-691-8869
Mailing Address - Fax:
Practice Address - Street 1:1330 ROCKEFELLER AVE STE 520
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1677
Practice Address - Country:US
Practice Address - Phone:425-316-5440
Practice Address - Fax:425-259-8600
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WAMD61137295207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program