Active NPI
Madhuri Kandala, M.D.
Doing business as Washington Nephrology and Hypertension PLLC
- Nephrology Physician
- Bellevue, WA
National Provider Identifier
1841383767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MADHURI KANDALA, M.D.
- Doing business as
- Washington Nephrology and Hypertension PLLC
- Practice address
- 2015 116TH Avenue NE
Suite B
Bellevue, WA 98004 - Phone
- (425) 453-8406
- Fax
- (425) 453-4173
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Madhuri Kandala, MD
- Title
- Self Owner
- Phone
- (425) 453-8406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
2015 116TH Avenue NE
Suite B
Bellevue, WA 98004
Mailing address
2015 116TH Ave NE
Suite B
Bellevue, WA 98004-3018
Phone (206) 592-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1123520 | Medicaid | WA |
Other names 1
- Washington Nephrology and Hypertension PLLC
National Provider Directory
National Provider DirectoryLocations
2015 116th Ave NE
#B
Bellevue, WA 98004
Phone (425) 305-4100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399939200000",
"number": "1841383767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 116TH AVE NE",
"address_2": "SUITE B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043018",
"telephone_number": "206-592-5000",
"fax_number": "206-824-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 116TH AVENUE NE",
"address_2": "SUITE B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-453-8406",
"fax_number": "425-453-4173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADHURI KANDALA, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2014-05-13",
"status": "A",
"authorized_official_last_name": "KANDALA",
"authorized_official_first_name": "MADHURI",
"authorized_official_title_or_position": "SELF OWNER",
"authorized_official_telephone_number": "425-453-8406",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1123520",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Washington Nephrology and Hypertension PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.