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NPI Code Detail

MEDICARE: DHATRI KALLALA

MEDICARE: DHATRI KALLALA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianTR70027157WA
2207U00000XNuclear Medicine PhysicianTR70027157WA
32085N0904XNuclear Radiology PhysicianTR70027157WA

General Provider Information

NPI Number : 1023988995
Entity Type Code : Individual
Provider Name (Legal Business Name) : DHATRI KALLALA
Provider Business Mailing Address
First Line : PO BOX 50095
Second Line :
City : SEATTLE
State : WA
Zip : 98145-5095
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-520-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2025
Last Update Date : 12/03/2025

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Directions to “ DHATRI KALLALA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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