Provider Demographics
NPI:1811069206
Name:VADIVEL, NIDYANANDH (MD)
Entity type:Individual
Prefix:DR
First Name:NIDYANANDH
Middle Name:
Last Name:VADIVEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1124 COLUMBIA ST STE 600
Mailing Address - Street 2:SWEDISH ORGAN TRANSPLANT
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2046
Mailing Address - Country:US
Mailing Address - Phone:206-215-6432
Mailing Address - Fax:206-386-3622
Practice Address - Street 1:1124 COLUMBIA ST STE 600
Practice Address - Street 2:SWEDISH ORGAN TRANSPLANT
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2046
Practice Address - Country:US
Practice Address - Phone:206-215-6432
Practice Address - Fax:206-386-3622
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2021-04-23
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Provider Licenses
StateLicense IDTaxonomies
WAMD60231640207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology