Provider Demographics
NPI:1235988460
Name:SAMINENI, SAI
Entity type:Individual
Prefix:
First Name:SAI
Middle Name:
Last Name:SAMINENI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31811 PACIFIC HWY S UNIT 187
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5646
Mailing Address - Country:US
Mailing Address - Phone:206-629-8475
Mailing Address - Fax:
Practice Address - Street 1:31811 PACIFIC HWY S UNIT 187
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5646
Practice Address - Country:US
Practice Address - Phone:206-629-8475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator