Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD00041517 | WA |
NPI | 1053358671 |
---|---|
Provider Name | Dr. Vijayakrishna K Gadi |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8385429 | (05) | WA |
H99058 | (02) |