Individual
NELLIE NANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L3035
TX
208M00000X
Hospitalist Physician
L3035
TX
208M00000X
Hospitalist Physician
Primary
MD00038771
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
L&I
WA
01
—
9769NA
INDIVIDUAL BLUE SHIELD
WA
Enumeration date
06/18/2006
Last updated
01/27/2023
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