Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD60931749 | WA |
N | 208200000X | Surgeon | MD60931749 | WA |
N | 208600000X | Surgeon | MD60931749 | WA |
NPI | 1427039189 |
---|---|
Provider Name | Chandrasekar Santhanakrishnan |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Seattle, WA 98104-2046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 01/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1427039189 | (05) | WA |