DR. SANDEEP VETTETH (NPI# 1619132495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619132495 |
| Entity Type | Individual |
| Full Name | DR. SANDEEP VETTETH |
| Credential | M.D. |
| Practice Address |
505 Ne 87th Ave Suite 460 Vancouver WA 98664-1989 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 3605142470 |
| Practice Fax Number | 3605147624 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD60594991 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
505 NE 87TH AVE SUITE 460 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536656 | Janet Mendel-hartvig | Radiology | 505 Ne 87th Ave, Ste Ll50, Vancouver, WA 98664-1989 | 2005-08-23 |
| 1164964938 | Laura Atack | Pharmacist | 505 Ne 87th Ave, Suite 320, Vancouver, WA 98664-1989 | 2016-11-10 |
| 1275075012 | Laura Erlewine | Pharmacist | 505 Ne 87th Ave, Suite 320, Vancouver, WA 98664-1989 | 2016-11-10 |
| 1932560067 | Tina Lynn Louie Peterson | Nurse Anesthetist, Certified Registered | 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664-1989 | 2016-03-17 |
| 1073996823 | Grace Deng | Physician Assistant | 505 Ne 87th Ave, Building A Suite 250, Vancouver, WA 98664-1989 | 2015-06-29 |
| 1184023939 | Austin Mckittrick | Genetic Counselor, MS | 505 Ne 87th Ave, Suite 160, Vancouver, WA 98664-1989 | 2014-08-18 |
| 1386058386 | Matthew D Lail | Registered Nurse | 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664-1989 | 2014-06-17 |
| 1699026716 | Charles Christopher Daniels | Nurse Anesthetist, Certified Registered | 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664-1989 | 2012-09-28 |
| 1942563960 | Shweta Duggirala | Specialist | 505 Ne 87th Ave, Suite 160, Vancouver, WA 98664-1989 | 2012-06-25 |
| 1700158110 | Eye Care Specialists of Vancouver, PC | Ophthalmology | 505 Ne 87th Ave, Suite 100, Vancouver, WA 98664-1989 | 2012-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841691250 | Nephrology Medical Associates of Ga, LLC | Internal Medicine | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6998 | 2014-09-05 |
| 1316171242 | Jennifer Kim Schneider | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2009-05-06 |
| 1073779831 | Binaya Khanal | Internal Medicine | 700 Ne 87th Ave Ste 270, Vancouver, WA 98664 | 2008-07-31 |
| 1275623563 | Sudha Pidikiti | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-10-15 |
| 1659314557 | John Rastall | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-14 |
| 1134160682 | Larry Lee | Internal Medicine | 700 Ne 87th Ave, Ste270, Vancouver, WA 98664-1913 | 2006-06-08 |
| 1699713073 | Charles Plamp | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-04 |
| 1609813088 | Haritha Ravi | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326502 | Blazing Grace Medical, LLC | Internal Medicine | 953 Stevens Dr Ste C, Richland, WA 99352-3533 | 2019-10-02 |
| 1619460268 | Pacific Kidney & Hypertension, LLC | Internal Medicine | 2707 Colby Ave, Everett, WA 98201-3528 | 2018-06-08 |
| 1992258289 | Roderick Marshall Macdonald | Internal Medicine | University of Washington Mc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-08-03 |
| 1124458310 | Cascade Kidney Specialists | Internal Medicine | Cascade Kidney Specialists, 1370 116th Ave Ne Suite 209, Bellevue, WA 98004-3825 | 2013-11-25 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| 1164775508 | Hoang H Dang, Md, Ps | Internal Medicine | 9804 Ne 15th St, Bellevue, WA 98004-3431 | 2012-10-23 |
| 1942561824 | Tsering Dhondup | Internal Medicine | 3525 Ensign Rd Ne Ste K, Olympia, WA 98506-5065 | 2012-06-06 |
| 1518248921 | William Griffith Couser | Internal Medicine | 16050 169th Ave Ne, Woodinville, WA 98072-8949 | 2011-08-30 |
| 1346535556 | David Alan Goodkin | Internal Medicine | 3807 134th Ave Ne, Bellevue, WA 98005-1437 | 2011-06-15 |
| 1174838676 | Shanza Mujeeb | Internal Medicine | 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 | 2010-08-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.