Provider Demographics
NPI:1740369644
Name:DJANG, DAVID SW (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:SW
Last Name:DJANG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1229 MADISON STREET
Mailing Address - Street 2:SUITE 1150
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3587
Mailing Address - Country:US
Mailing Address - Phone:206-386-6300
Mailing Address - Fax:206-386-6316
Practice Address - Street 1:1229 MADISON STREET
Practice Address - Street 2:SUITE 1150
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3587
Practice Address - Country:US
Practice Address - Phone:206-386-6300
Practice Address - Fax:206-386-6316
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WAMD000388112085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8361610Medicaid
WA0174176OtherL&I
WA8361610Medicaid
H93837Medicare UPIN