Healthcare Provider Details

I. General information

NPI: 1346177599
Provider Name (Legal Business Name): SURESH VELAYUDHAN NAYAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1959 NE PACIFIC ST BOX 357131
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-5919
  • Fax: 206-685-9654
Mailing address:
  • Phone: 206-543-5919
  • Fax: 206-685-9654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDF70089972
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: