Individual
NITA KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3059
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD60138623
WA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD60138623
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279977
L&I
WA
05
—
1841456431
—
WA
Enumeration date
08/02/2008
Last updated
04/05/2012
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