Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD60258232 | WA |
NPI | 1063677367 |
---|---|
Provider Name | Namrata Sethi |
First Address | Silverdale, WA 98383-9411 |
Second Address | Silverdale, WA 98383-9411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 03/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063677367 | (05) | WA |
500641859 | (05) | OR |