Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD61036264 | WA |
NPI | 1033563069 |
---|---|
Provider Name | Arthika Chandramohan |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-2742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2016 |
Last Update Date | 06/12/2021 |