Individual
NITIN VENUGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4245 ROOSEVELT WAY NE, SEATTLE, WA 98105-6008
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036178610
IL
2085R0202X
Diagnostic Radiology Physician
2026-01022
NC
2085R0202X
Diagnostic Radiology Physician
35.155120
OH
2085R0202X
Diagnostic Radiology Physician
Primary
MD61573890
WA
Other
Enumeration date
03/26/2020
Last updated
03/04/2026
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