Ghodke, Basavaraj V

Ghodke, Basavaraj V is an individual health care provider with primary practice located at 325 9Th Ave , Seattle WA 98104-2420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Ghodke, Basavaraj V can be contacted via phone (206) 731-3105.

Contact Information

Primary practice address
325 9Th Ave Seattle WA 98104-2420
Phone: (206) 731-3105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X TR00042986 Washington
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X TR00042986 Washington

Profile Details

NPI number 1336269265
LBN Legal business name Ghodke, Basavaraj V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Nov 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336269265 NPPES
Washington Other 0231066 L&I
Washington MEDICAID 1336269265 L&I
Washington Other P00114521 L&I

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