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

Suraj Reddy Muddasani, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376129106

Suraj Reddy Muddasani, MD is a Dermatology in Puyallup, Washington. Graduated from Cincinnati College of Medicine and Surgery in 2021, 5 years ago. Practices with Cascade Eye and Skin Centers PC, a 46-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Trained at
Cincinnati College of Medicine and Surgery
Licensed in
WA
In the registry since
2021
Specialties on file
2
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

1703 S Meridian Ste 101
Puyallup, WA 98371-7590
Phone: (253) 446-3904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD61657223 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376129106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address1703 S Meridian Ste 101, Puyallup, WA 98371-7590

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolCINCINNATI COLLEGE OF MEDICINE AND SURGERY
Graduated 2021 (5 years in practice)
Group practice Cascade Eye And Skin Centers Pc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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