Individual provider · Type 1 NPI

Kenneth R. Maravilla

Diagnostic Radiology Physician · Seattle, WA

NPI number 1679658488 Active

Practice location

University Of Washington Medical Ctr, 1959 NE Pacific St
Seattle, WA 98195-0001

Call (206) 598-6214 Map

Mailing address

PO Box 50095
Seattle, WA 98145-5095

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD00024376 (WA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1679658488

Kenneth R. Maravilla's National Provider Identifier is 1679658488, issued on Oct 27, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Seattle, WA. The record was last updated on Jan 25, 2013.