Individual
KIRAN CHATURVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S 12TH ST, MOUNT VERNON, WA 98274-4000
(360) 527-4505
Mailing address
3560 MERIDIAN ST STE 101, BELLINGHAM, WA 98225-1731
(360) 734-2800
(360) 734-3818
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
MD60139225
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD60139225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129973
MEDICAL LICENSE
AK
01
—
MD60139225
MEDICAL LICENSE
WA
Enumeration date
05/07/2007
Last updated
05/11/2022
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