Individual
DR. SIDDHARTHA HARISH KRISHNA DEVARAKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 MADISON ST FL 2, SEATTLE, WA 98104-3588
(206) 386-2323
(206) 215-6165
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014039433
MO
207RH0003X
Hematology & Oncology Physician
2014039433
MO
207RX0202X
Medical Oncology Physician
2014039433
MO
207RX0202X
Medical Oncology Physician
Primary
MD61372698
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2238079
—
WA
Enumeration date
07/26/2011
Last updated
05/24/2023
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