Individual
SHIVANI KWATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4609 14TH AVE NW STE 7, SEATTLE, WA 98107-4619
(833) 411-5469
(855) 459-3020
Mailing address
4609 14TH AVE NW STE 7, SEATTLE, WA 98107-4619
(833) 411-5469
(855) 459-3020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61227461
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/17/2017
Last updated
03/10/2023
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