Individual
VIVEK MANCHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-4746
(206) 520-5000
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MD00043926
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00043926
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861428989
—
WA
Enumeration date
06/23/2006
Last updated
12/04/2025
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