DR. CHETAN PUNGOTI (NPI# 1699986307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699986307 |
| Entity Type | Individual |
| Full Name | DR. CHETAN PUNGOTI |
| Credential | M.D. |
| Practice Address |
1536 N 115th St Suite 200 Seattle WA 98133-8400 |
| Practice Telephone | 2063631004 |
| Mailing Telephone | 2063631004 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2016-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 242619 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
60218272 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1536 N 115TH ST SUITE 200 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262041 | Robert C Saunders | Internal Medicine | 1536 N 115th St, Ste 125, Seattle, WA 98133-8400 | 2005-08-15 |
| 1578010666 | Jessica Erin Trahey | Pharmacist | 1536 N 115th St, Suite 100, Seattle, WA 98133-8400 | 2016-09-06 |
| 1497117592 | University of Washington | Registered Nurse | 1536 N 115th St, Suite 310, Seattle, WA 98133-8400 | 2016-03-28 |
| 1952729535 | Ye Hu | Psychiatry & Neurology | 1536 N 115th St, Seattle, WA 98133-8400 | 2014-04-01 |
| 1003251273 | Jennifer Laura Branham | Nurse Practitioner | 1536 N 115th St, Suite 200, Seattle, WA 98133-8400 | 2013-05-01 |
| 1043556251 | Deborah Kasarda Gallaro | Pharmacist | 1536 N 115th St, Suite 130, Seattle, WA 98133-8400 | 2012-12-14 |
| 1932468865 | Nathan Robert Kenney | Pharmacist | 1536 N 115th St, Suite #100, Seattle, WA 98133-8400 | 2012-05-12 |
| 1104185073 | Northwest Ent Associates | Otolaryngology | 1536 N 115th St, Suite 340, Seattle, WA 98133-8400 | 2012-05-11 |
| 1306123948 | Nwh&mc Surgical Pre-op Clinic Tr | Internal Medicine | 1536 N 115th St, Suite 320, Seattle, WA 98133-8400 | 2011-11-10 |
| 1851672117 | Neurology Northwest Tr | Psychiatry & Neurology | 1536 N 115th St, Suite 300, Seattle, WA 98133-8400 | 2011-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1295113108 | Sophia Larson | Internal Medicine | 1959 Ne Pacific St Ste Bb-552, Seattle, WA 98195 | 2015-05-12 |
| 1356585236 | Amila Dilusha William | Internal Medicine | 550 17th Ave Ste 450, Seattle, WA 98122-5795 | 2009-04-23 |
| 1285823187 | Vimal M Rabdiya | Internal Medicine | 201 16th Ave E # Aveneuee, Seattle, WA 98112-5226 | 2007-10-17 |
| 1437368099 | John A. Murray | Internal Medicine | 12750 39th Ave Ne, Seattle, WA 98125-4612 | 2007-05-21 |
| 1346398948 | James F Clifton | Internal Medicine | 604 Yale Ave N, Seattle, WA 98109-5534 | 2007-01-08 |
| 1346303260 | Curtis S Burnett Md | Internal Medicine | 16259 Sylvester Rd, #401, Seattle, WA 98166-3059 | 2006-12-19 |
| 1255409439 | Melish A Thompson Jr. | Internal Medicine | 5237 55th Ave Ne, Seattle, WA 98105 | 2006-12-04 |
| 1346325065 | Nathan Robert Every | Internal Medicine | Va Puget Sound Healthcare System, 1660 S. Columbian Way, Seattle, WA 98108 | 2006-10-25 |
| 1003999038 | David C. Warth | Internal Medicine | 1536 N 115th St Ste 200, Seattle, WA 98133-8400 | 2006-10-23 |
| 1497835318 | David E. Panther | Internal Medicine | 801 Broadway Ste 808, Seattle, WA 98122-4328 | 2006-10-16 |
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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.