Individual
DHATRI KALLALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
TR70027157
WA
2085N0904X
Nuclear Radiology Physician
Primary
TR70027157
WA
2085R0202X
Diagnostic Radiology Physician
TR70027157
WA
Other
Enumeration date
11/06/2025
Last updated
12/03/2025
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