Individual
CHANDRASEKAR SANTHANAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1124 COLUMBIA ST STE 600, SEATTLE, WA 98104-2046
(206) 386-3660
(206) 386-3644
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
MD60931749
WA
208600000X
Surgery Physician
MD60931749
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427039189
—
WA
Enumeration date
11/09/2005
Last updated
07/01/2019
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