Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Indrawan Husodo, MD

Individual provider Anesthesiology Physician · NPI 1376541847

Dr. Indrawan Husodo, MD is an Anesthesiology in Bremerton, Washington. Qualified in 1979, 47 years ago. Practices with Olympic Anesthesia Services, Inc, a 38-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
47
Licensed in
WA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

990 Sylvan Way
Bremerton, WA 98310-2851
Phone: (360) 479-3657
Fax: (360) 373-7616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD00028376 (WA)

Record details

NPI number1376541847
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2005
Last updated in NPPESJanuary 21, 2009
Mailing address990 Sylvan Way, Bremerton, WA 98310-2851

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Olympic Anesthesia Services, Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bremerton