RUSSOM DESTA, MD
Internal Medicine
Active
Individual
NPI: 1245971209
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | MD61579314 (WA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1245971209 is the National Provider Identifier for RUSSOM DESTA, MD, a Internal Medicine provider located in Everett, WA. This NPI was enumerated on April 5, 2022.
RUSSOM DESTA, MD practices at 3901 HOYT AVE, Everett, WA 98201.
Quick Facts
- NPI
- 1245971209
- Type
- Individual
- Enumerated
- Apr 5, 2022
- Last Updated
- Sep 23, 2025
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