Individual provider · Type 1 NPI

Shantanu Neravetla, MD

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1154613487 Active

Practice location

925 Seneca St, H8-GME
Seattle, WA 98101-2742

Call (206) 583-6079 Map

Fax (206) 583-2307

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154613487

Shantanu Neravetla, MD's National Provider Identifier is 1154613487, issued on May 4, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on May 4, 2011.