Individual
DURGA SIVACHARAN GADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A172641
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD61443065
WA
Other
Enumeration date
04/05/2016
Last updated
05/08/2025
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