Suraj Reddy Muddasani, MD

Dermatology Physician · Puyallup, WA

Individual Active NPI

NPI number 1376129106

Practice location

1703 S Meridian Ste 101
Puyallup, WA 98371-7590
Phone
(253) 446-3904

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NPI record

NPI
1376129106
Entity type
Individual (Type 1)
Enumeration date
March 22, 2021
Last updated
August 20, 2025
Certified
August 20, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatology Physician Primary 207N00000X MD61657223 WA
Student in an Organized Health Care Education/Training Program 390200000X — —

About Dr. Muddasani

Suraj Reddy Muddasani, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 1703 S Meridian Ste 101, Puyallup, WA 98371-7590. The NPI number 1376129106 was assigned on March 22, 2021 and the record was last updated on August 20, 2025.

Dr. Muddasani lists a license in the registry: #MD61657223 (WA) for Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Suraj Reddy Muddasani, MD?

The NPI number is 1376129106.

What is the phone number of Dr. Muddasani?

The phone number listed for the practice location is (253) 446-3904.

Where is Dr. Muddasani located?

1703 S Meridian Ste 101, Puyallup, WA 98371-7590.

What is the taxonomy code for Dr. Muddasani?

The primary taxonomy code is 207N00000X – Dermatology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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