Individual
VYSHAK ALVA VENUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5700
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57020645
OH
207RH0003X
Hematology & Oncology Physician
R10172
IA
207RX0202X
Medical Oncology Physician
Primary
MD60960073
WA
Other
Enumeration date
07/06/2012
Last updated
03/18/2020
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