SHIVALI AGNANI MENDA


Address: 1145 Broadway, Seattle, WA 98122-4201
Phone: 2066823447

SHIVALI AGNANI MENDA (NPI# 1164749768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164749768
Entity Type Individual
Full Name SHIVALI AGNANI MENDA
Credential MD
Practice Address 1145 Broadway
Seattle
WA 98122-4201
Mailing Address Po Box 50095
Seattle
WA 98145-5095
Practice Telephone 2066823447
Mailing Telephone 2065205700
Enumeration Date 2010-04-23
Last Update Date 2018-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology MD60589607 WA Allopathic & Osteopathic Physicians
Y 207WX0009X Ophthalmology
Specialization: Glaucoma Specialist
MD60589607 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1164749768 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1959 Ne Pacific St, 3rd Floor Nn 300, Seattle, WA 981950001 2065984011

Office Location

Street Address 1145 BROADWAY
City SEATTLE
State WA
Zip Code 98122-4201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033112107 Hunter A Mckay Specialist 1145 Broadway, Seattle, WA 98122-4201 2005-05-23
1215420518 Samuel Aren Bernstein Mann Registered Nurse 1145 Broadway, Seattle, WA 98122-4201 2018-06-11
1134677578 Hilaire Jane Thompson Nurse Practitioner 1145 Broadway, Seattle, WA 98122-4201 2016-09-14
1285035105 Dawn Darroch Nurse Practitioner 1145 Broadway, Seattle, WA 98122-4201 2014-09-10
1669808341 Jennifer A. Carmichael Nurse Practitioner 1145 Broadway, Seattle, WA 98122-4201 2013-09-25
1750640868 Jonathan Liu Internal Medicine 1145 Broadway, Seattle, WA 98122-4201 2012-05-09
1144586587 Jeffrey Bruce Kennedy Ophthalmology 1145 Broadway, Seattle, WA 98122-4201 2012-04-10
1063790004 Katherine M. Negron Nurse Practitioner 1145 Broadway, Seattle, WA 98122-4201 2011-07-25
1164712931 Daiva Nevidomskyte Surgery 1145 Broadway, Seattle, WA 98122-4201 2011-04-14
1598054355 Ulrik Georg Wallin Colon & Rectal Surgery 1145 Broadway, Seattle, WA 98122-4201 2011-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053938506 Quality Counseling and Consultation Service LLC Counselor 1525 Harvard Ave #509, Seattle, WA 98122 2020-07-01
1912535626 Cesar Andrade Student in an Organized Health Care Education/Training Program 550 16th Avenue #400, Seattle, WA 98122 2020-03-29
1366089666 Peter Nguyen Pharmacy Technician 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 2019-12-05
1356903140 Jason Dandino Specialist/Technologist 550 14th Avenue, Seattle, WA 98122 2019-07-02
1962066415 Seattle Colleges Local Education Agency (LEA) Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 2019-04-30
1538621412 Mitchell R Ornelas Student in an Organized Health Care Education/Training Program Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 2019-04-01
1003374265 Michael Russell Surgery 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 2019-03-06
1639646821 Maritza E Cajiao Doula 747 Broadway, Seattle, Seattle, WA 98122 2018-10-25
1336616762 Suzanna M Lovin Social Worker 401 Broadway, 1st Floor, Seattle, WA 98122 2018-10-24
1184137770 Walter Franklin Krengel Jr. Orthopaedic Surgery 2000 1st Ave Suite 2201, Seattle, WA 98122 2017-11-06
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Taxonomy Information

Taxonomy Code 207WX0009X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Glaucoma Specialist

Taxonomy Definition

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356737886 Andrew Chen Ophthalmology 325 9th Ave, Seattle, WA 98104-2420 2015-04-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801409677 Central Washington Eye Clinic Pllc Ophthalmology 4011 Talbot Rd S Ste 230, Renton, WA 98055-5791 2020-08-31
1255631016 Blue Mountain Eye Pllc Ophthalmology 1610 Penny Ln, Walla Walla, WA 99362-4477 2010-10-27

Competitor

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City SEATTLE
Zip Code 98122

Improve Information

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Dataset Information

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.

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