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Contact Information

KALYAN DANDALA, MD PLLC
350 S 38TH CT STE 100
RENTON, WA98055-5777
 Phone: 714-828-1800
 Fax: 714-882-1186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KALYAN DANDALA MD PLLC · (Female)

NPI # 1558600650
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2013
Last updated 05/08/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # AP30007637
  • WA License # MD00048010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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