Healthcare Provider Details

I. General information

NPI: 1881499556
Provider Name (Legal Business Name): SANIKA S KSHIRSAGAR ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12911 120TH AVE NE STE E50
KIRKLAND WA
98034-3046
US

IV. Provider business mailing address

9440 171ST AVE NE
REDMOND WA
98052-3723
US

V. Phone/Fax

Practice location:
  • Phone: 425-943-0910
  • Fax: 800-852-5176
Mailing address:
  • Phone: 808-634-2463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number61624581
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: