Healthcare Provider Details

I. General information

NPI: 1407189681
Provider Name (Legal Business Name): NEHA DIDWANIYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2009
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 MADISON ST STE 1040
SEATTLE WA
98104-3306
US

IV. Provider business mailing address

2200 11TH AVE W UNIT A
SEATTLE WA
98119-2806
US

V. Phone/Fax

Practice location:
  • Phone: 425-230-0609
  • Fax:
Mailing address:
  • Phone: 425-230-0609
  • Fax: 206-944-2814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD162495
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60675906
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: