Individual
DR. SUDHAKAR NAIK JADAV PIPAVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-6200
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD00043911
WA
2085N0700X
Neuroradiology Physician
Primary
MD00043911
WA
2085R0202X
Diagnostic Radiology Physician
MD00043911
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231851
L&I
WA
05
—
1609810902
—
WA
01
—
P00342028
RAILROAD MEDICARE
WA
Enumeration date
06/16/2006
Last updated
12/05/2013
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