Individual
ANISHA MANIKA BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4307
(206) 386-6000
Mailing address
747 BROADWAY, SEATTLE, WA 98122-4307
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ML61070590
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ML61070590
—
WA
Enumeration date
03/30/2020
Last updated
07/23/2020
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