Healthcare Provider Details

I. General information

NPI: 1124505110
Provider Name (Legal Business Name): SUDIKSHYA BASKOTA NATUROPATHIC DOCTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2018
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3670 STONE WAY N
SEATTLE WA
98103-8004
US

IV. Provider business mailing address

14213 75TH AVE NE
KIRKLAND WA
98034-4928
US

V. Phone/Fax

Practice location:
  • Phone: 206-834-4100
  • Fax:
Mailing address:
  • Phone: 551-208-4093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: