Individual
DR. RUBEN KRISHNANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD00045187
WA
2085R0202X
Diagnostic Radiology Physician
MD00045187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0356361
L&I-RADIA-REST OF WA
WA
01
—
0356365
L&I-SWEDISH RADIA
WA
01
—
0356366
L&I-EVERGREEN RADIA
WA
05
—
1021587
—
WA
Enumeration date
08/31/2006
Last updated
12/30/2025
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