Individual
DR. SHIVA PRASAD GOWDA MANJAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-1023
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD61135389
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD61135389
WA
Other
Enumeration date
06/18/2008
Last updated
03/02/2023
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