Provider Demographics
NPI:1629539283
Name:KOSTURAKIS, ALYSSA KATARINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:KATARINA
Last Name:KOSTURAKIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIV OF WASHINGTON DEPT OF OBGYN
Mailing Address - Street 2:1959 NE PACIFIC ST. BOX 356460
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIV OF WASHINGTON DEPT OF OBGYN
Practice Address - Street 2:1959 NE PACIFIC ST.
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195
Practice Address - Country:US
Practice Address - Phone:206-744-2250
Practice Address - Fax:206-744-6312
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program