Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD60937807 | WA |
NPI | 1194143073 |
---|---|
Provider Name | Rohan Hattiangadi |
First Address | Kirkland, WA 98034-3099 |
Second Address | Kirkland, WA 98034-3042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 22/12/2021 |