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Individual

PRAKASH VISHNU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MBBS

Contact information

Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
MD60211397
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD60211397
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2013340
WA
Enumeration date
04/14/2008
Last updated
10/13/2025
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