Individual provider · Type 1 NPI

Praveen Kumar Mambalam, MD

Pain Medicine (Anesthesiology) Physician · Edmonds, WA

NPI number 1790942886 Active

Practice location

21616 76th Ave W, Ste 102
Edmonds, WA 98026-7512

Fax (425) 744-1527

Mailing address

PO Box 827
Bellevue, WA 98009-0827

Other practice locations

  • 155 Lilly Rd NE Ste B, Olympia, WA 98506-5028 · (206) 538-6300

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician Primary 207LP2900XMD 00049423 (WA)

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

31 other providers at this address

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About NPI 1790942886

Praveen Kumar Mambalam, MD's National Provider Identifier is 1790942886, issued on May 17, 2008. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Edmonds, WA. The record was last updated on May 23, 2023.