Soren M Gantt
Pediatrician Pediatric Infectious Diseases
4800 Sand Point Way Ne
Seattle
, Washington 98105-3901
Soren M Gantt
Pediatrician Pediatric Infectious Diseases
4800 Sand Point Way Ne
Seattle
, Washington 98105-3901
(206) 987-8484
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Soren M Gantt
- Po Box 50010
- Seattle, WA
- Zip : 98105-1010
- Fax : (206) 987-8484
- Phone : (206) 987-8450
Second Address
- Soren M Gantt
- 4800 Sand Point Way Ne
- Seattle, WA
- Zip : 98105-3901
- Fax : (206) 987-3890
- Phone : (206) 987-1909
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD00043059 | WA |
| Y | 2080P0208X | Pediatric Infectious Diseases | MD00043059 | WA |
National Provider Identifier
| NPI | 1083661631 |
|---|---|
| Provider Name | Soren M Gantt |
| First Address | Seattle, WA 98105-1010 |
| Second Address | Seattle, WA 98105-3901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2006 |
| Last Update Date | 14/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 807507400 | (05) | ID |
| 8452617 | (05) | WA |
| I53007 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.