Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD60941966 | WA |
N | 111NI0900X | Internist | MD60941966 | WA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD60941966 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD60941966 | WA |
NPI | 1679915888 |
---|---|
Provider Name | Dr. Poorna Pushkala Natarajan |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2013 |
Last Update Date | 30/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1679915888 | (05) | WA |