GIRIDHAR MYSORE SHIVARAM

SEATTLE, WA
NPI1558517680
Other NameGIRI SHIVARAM
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: WA  MD60180267)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: WA  MD60180267)
2085P0229X Radiology, Pediatric Radiology
(Licence: WA  MD60180267)
Enumeration Date2008-08-08
Last Update Date2013-07-27
Business Address
Dr. GIRIDHAR MYSORE SHIVARAM MD
4800 SAND POINT WAY NE
SEATTLE, WA 98105-3901
Phone number: 206-987-2166
Mailing Address
Dr. GIRIDHAR MYSORE SHIVARAM MD
4800 SAND POINT WAY NE M/S MA.7.220, PO BOX 5371
SEATTLE, WA 98105-3901
Phone number: 206-987-2166