Khanduri, Vivaksha
Khanduri, Vivaksha is an sole proprietor health care provider with primary practice located at 3005 Alderwood Mall Pkwy Ste 100 , Lynnwood WA 98036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Khanduri, Vivaksha can be contacted via phone (425) 610-9394.Contact Information
Primary practice address
3005 Alderwood Mall Pkwy Ste 100
Lynnwood WA 98036
Phone: (425) 610-9394
Fax: (833) 418-1959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60798086 | Washington |
Profile Details
| NPI number | 1225548324 |
|---|---|
| LBN Legal business name | Khanduri, Vivaksha |
| Credentials | DNP, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2017 |
| Last updated | Dec 21st, 2023 - about 2 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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