Provider Demographics
NPI:1083660716
Name:NEUROSURGICAL CONSULTANTS OF WASHINGTON
Entity Type:Organization
Organization Name:NEUROSURGICAL CONSULTANTS OF WASHINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROSURGEON
Authorized Official - Prefix:
Authorized Official - First Name:JAYASHREE
Authorized Official - Middle Name:
Authorized Official - Last Name:SRINVASAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-623-0922
Mailing Address - Street 1:801 BROADWAY 617
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4319
Mailing Address - Country:US
Mailing Address - Phone:206-623-0922
Mailing Address - Fax:206-623-1588
Practice Address - Street 1:801 BROADWAY 617
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4319
Practice Address - Country:US
Practice Address - Phone:206-623-0922
Practice Address - Fax:206-623-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty