Individual
VANDITA S SAMAVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14410 SE PETROVITSKY RD, STE 104, RENTON, WA 98058-8900
(425) 656-4242
Mailing address
3600 LIND AVE SW, STE 100, RENTON, WA 98055-4934
(425) 656-5412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041720
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8337461
—
WA
Enumeration date
07/29/2006
Last updated
01/21/2008
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