Revannagowda, Shakunthala

Revannagowda, Shakunthala is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-3901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is her primary health care specialty. Revannagowda, Shakunthala can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-3901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60998671 Washington
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X MD60998671 Washington

Profile Details

NPI number 1659729564
LBN Legal business name Revannagowda, Shakunthala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2016
Last updated May 10th, 2022 - 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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