Provider Demographics
NPI:1922561661
Name:THRIKUTAM, NIKHITHA
Entity Type:Individual
Prefix:
First Name:NIKHITHA
Middle Name:
Last Name:THRIKUTAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7TH FLOOR CENTER TOWER ROOM 73.1.1
Mailing Address - Street 2:325 9TH AVE., MAILSTOP #359796
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7TH FLOOR CENTER TOWER ROOM 73.1.1
Practice Address - Street 2:325 9TH AVE., MAILSTOP #359796
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-744-3183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program