Individual
MUKUL KIRAN DIVATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST., SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD61553792
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD61553792
WA
Other
Enumeration date
06/07/2010
Last updated
07/25/2024
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