Individual
DR. ANITA S. NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12303 NE 130TH LN STE 420, KIRKLAND, WA 98034-3042
(425) 899-1600
Mailing address
12303 NE 130TH LN STE 420, KIRKLAND, WA 98034-3042
(425) 899-1600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00045287
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8430811
—
WA
Enumeration date
10/18/2005
Last updated
11/01/2019
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