Healthcare Provider Details

I. General information

NPI: 1952762858
Provider Name (Legal Business Name): SARA KAPPRAFF NECHES M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2016
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF WASHINGTON 1959 NE PACIFIC ST
SEATTLE WA
98195
US

IV. Provider business mailing address

UW BOX 356320-NEONATOLOGY 1959 NE PACIFIC ST
SEATTLE WA
98195-6320
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-4606
  • Fax:
Mailing address:
  • Phone: 206-598-4606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD60936851
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD60936851
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: