Individual
KIRAN BAMBHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4377
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD60718219
WA
207RI0008X
Hepatology Physician
MD60718219
WA
207RT0003X
Transplant Hepatology Physician
Primary
MD60718219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285606541
—
WA
Enumeration date
02/02/2006
Last updated
01/25/2024
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