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KALYAN DANDALA MD PLLC NPI 1558600650


NPI Information

NPI: 1558600650
Provider Name: KALYAN DANDALA, MD PLLC

Doing Business As: DANMED

Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

Address:
350 S 38TH CT STE 100
RENTON, WA
ZIP 98055
Phone: (714) 828-1800
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KALYAN DANDALA, MD PLLC is an addiction psychiatry psychiatry neurology in Renton, WA. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. KALYAN DANDALA, MD PLLC NPI is 1558600650. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Danmed.

The provider's business location address is:

350 S 38TH CT STE 100
RENTON, WA
ZIP 98055-777
Phone: (714) 828-1800
Fax: (714) 882-1186

The provider's authorized official is Magdalen Gustilo .
The authorized official title is Director Of Payer Relations and has the following contact phone number (714) 568-7667.

The enumeration date for this NPI number is 2/8/2013 and was last updated on 5/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthAP30007637WASHINGTONNo
22084P0802XPsychiatry & NeurologyAddiction PsychiatryMD00048010WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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