Healthcare Provider Details

I. General information

NPI: 1831016997
Provider Name (Legal Business Name): DEVA N ANANDA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 16TH AVE E
SEATTLE WA
98112-5226
US

IV. Provider business mailing address

2758 78TH AVE SE APT C510
MERCER ISLAND WA
98040-2873
US

V. Phone/Fax

Practice location:
  • Phone: 206-326-4436
  • Fax:
Mailing address:
  • Phone: 425-777-1539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberRN00111238
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: