Individual
DR. SHRUTI CHANDRAMOULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 MINOR AVE STE 300, SEATTLE, WA 98104-2133
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD61314727
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2218908
—
WA
Enumeration date
03/20/2017
Last updated
12/06/2022
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