Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD60152846 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | 60152846 | WA |
NPI | 1184647711 |
---|---|
Provider Name | Todd Frederick Dardas |
First Address | Seattle, WA 98195-6422 |
Second Address | Seattle, WA 98195-6422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 28/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1184647711 | (05) | WA |