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Individual

ANANYA MANDYAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
753 N 35TH ST, SEATTLE, WA 98103-8870
(206) 462-5830
Mailing address
3997 170TH PL NE, BELLEVUE, WA 98008-6134
(425) 533-1845

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/21/2025
Last updated
07/21/2025
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