Individual
NIVEDITA UMASANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
916 N 10TH PL BLDG 306 SPC B, RENTON, WA 98057-5540
(425) 391-5770
(425) 391-5771
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD61168839
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932620127
—
WA
Enumeration date
06/28/2017
Last updated
01/17/2022
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