Provider Demographics
NPI:1952436263
Name:SCHEEL, GAYTRI PURI (MD)
Entity Type:Individual
Prefix:DR
First Name:GAYTRI
Middle Name:PURI
Last Name:SCHEEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GAYTRI
Other - Middle Name:
Other - Last Name:PURI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 5127
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98206-5127
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3901 HOYT AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4918
Practice Address - Country:US
Practice Address - Phone:425-259-0966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85188207Q00000X
DEC1-0008150207Q00000X
VA0101241134207Q00000X
WAMD60279186207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2021790Medicaid
VAGC1100Medicare PIN
WAG8909981Medicare PIN