Individual provider Active NPI

Dhavalkirti Satishchandra Dhru, M.D.

  • Otolaryngology Physician
  • Seattle, WA
National Provider Identifier
1811310816
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
16534 Issued in WA
Practice address
3670 Stone Way N
Seattle, WA 98103-8004
Phone
(206) 834-4100
Fax
(206) 834-4131
NPI assigned
Jan 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 16534 WA Primary

Addresses

Primary practice location

3670 Stone Way N
Seattle, WA 98103-8004

Mailing address

426 SW 295TH PL
Federal Way, WA 98023-3530
Phone (253) 709-9718

Other names 1

  • Dr. Dhaval S Dhru Professional name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16534WAMDOtolaryngology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1811310816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SW 295TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980233530",
            "telephone_number": "253-709-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038004",
            "telephone_number": "206-834-4100",
            "fax_number": "206-834-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHRU",
        "first_name": "DHAVALKIRTI",
        "middle_name": "SATISHCHANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "16534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DHAVAL",
            "last_name": "DHRU",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.