Individual
ARCHANA CHIVUKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(206) 386-2600
Mailing address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(206) 386-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD61041205
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD61041205
WA
Other
Enumeration date
09/13/2016
Last updated
12/08/2025
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