Individual
DR. PREETAM BANDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 17TH AVE FL A, SEATTLE, WA 98122-5788
(206) 386-4744
(206) 215-1135
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00046193
WA
2080P0214X
Pediatric Pulmonology Physician
MD00046193
WA
2080S0012X
Pediatric Sleep Medicine Physician
Primary
MD00046193
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639129752
—
WA
Enumeration date
05/11/2006
Last updated
04/15/2021
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