Active NPI
Joseph Gnanaprasad Rajendran, MD
- Nuclear Imaging & Therapy Physician
- Seattle, WA
National Provider Identifier
1477650943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- License
- 33369
- Practice address
- Nuclear Medicine, Box 356113, Univerity of Washington
1959 NE Pacific Street
Seattle, WA 98195 - Phone
- (206) 221-4421
- NPI assigned
- Sep 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | 33369 | WA | Primary |
Addresses
Primary practice location
Nuclear Medicine, Box 356113, Univerity of Washington
1959 NE Pacific Street
Seattle, WA 98195
Mailing address
21016 47TH Ave W
Lynnwood, WA 98036
Phone (425) 640-9509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33369 | WA | MD | Nuclear Imaging & Therapy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477650943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21016 47TH AVE W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "98036",
"telephone_number": "425-640-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NUCLEAR MEDICINE, BOX 356113, UNIVERITY OF WASHINGTON",
"address_2": "1959 NE PACIFIC STREET",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98195",
"telephone_number": "206-221-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJENDRAN",
"first_name": "JOSEPH",
"middle_name": "GNANAPRASAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "WA",
"license": "33369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.