IndividualActive
Shakunthala Revannagowda, MD
NPI 1659729564 · Nuclear Radiology Physician · Seattle, WA
Provider details
- NPI number
- 1659729564
- Entity type
- Individual
- Primary specialty
- Nuclear Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD60998671 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1959 Ne Pacific St
Seattle, WA 98195-3901
Phone: (206) 520-5000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 50095
Seattle, WA 98145-5095
Registry dates
- Enumerated
- 2016-06-01
- Last updated
- 2022-05-10
- Certified
- 2022-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.