DR. KALYAN DANDALA (NPI# 1336295864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336295864 |
| Entity Type | Individual |
| Full Name | DR. KALYAN DANDALA |
| Credential | MD |
| Practice Address |
1215 120th Ave Ne Suite 201 Bellevue WA 98005-2135 |
| Mailing Address |
819 Virginia St Unit 3107 Seattle WA 98101-4421 |
| Practice Telephone | 4252834200 |
| Practice Fax Number | 4254587528 |
| Mailing Telephone | 2067086877 |
| Mailing Fax Number | 2067086877 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MD00048010 | WA | Allopathic & Osteopathic Physicians |
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MD00048010 | WA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00048010 | WA | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD00048010 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
1215 120TH AVE NE SUITE 201 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861406704 | Keith Mcgahey | Chiropractor | 1215 120th Ave Ne, Suite 100, Bellevue, WA 98005-2135 | 2006-07-28 |
| 1154836872 | Ideal Option, Pllc | Family Medicine | 1215 120th Ave Ne, 201 & 204, Bellevue, WA 98005 | 2017-12-04 |
| 1710414594 | Tree of Life Acupuncture | Clinic/Center | 1215 120th Ave Ne, Suite 206, Bellevue, WA 98005-2135 | 2017-05-11 |
| 1093241127 | Abundant Spring | Clinic/Center | 1215 120th Ave Ne, Suite 206, Bellevue, WA 98005-2135 | 2017-05-10 |
| 1558802926 | Karen Margaret Tindall | Counselor | 1215 120th Ave Ne, 201, Bellevue, WA 98005-2135 | 2017-03-17 |
| 1225427859 | Pain and Addiction Study Foundation | Counselor | 1215 120th Ave Ne, Suite 201, Bellevue, WA 98005-2135 | 2015-01-20 |
| 1821433038 | Eastside Chiropractic Group A Professional Service Corporation | Chiropractor | 1215 120th Ave Ne, Suite 100, Bellevue, WA 98005-2135 | 2013-05-01 |
| 1861738064 | Tetuan Innovative Chiropractic Care P.s. | Chiropractor | 1215 120th Ave Ne, Suite 100, Bellevue, WA 98005-2135 | 2012-12-17 |
| 1689976276 | Associated Behavioral Health Care | Psychologist | 1215 120th Ave Ne, Ste 201, Bellevue, WA 98005-2135 | 2010-12-02 |
| 1891004180 | Megan Doolen | Massage Therapist | 1215 120th Ave Ne, Suite 100, Bellevue, WA 98005-2135 | 2010-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003346594 | Magnolia Psychiatry, LLC | Psychiatry & Neurology | 12729 Northup Way Ste 6, Bellevue, WA 98005-1935 | 2017-06-15 |
| 1609915685 | Howard Berryman Edwards | Psychiatry & Neurology | 14205 Se 36th St, 100, Bellevue, WA 98006-1596 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003236761 | Daniel Magliozzi | Psychiatry & Neurology | Va American Lake 9600 Veterans Drive Southwest, Tacoma, WA 98493-6560 | 2014-04-22 |
| 1649461740 | Center for Assessment & Therapy Services Ps | Psychiatry & Neurology | 10634 E Riverside Dr, Suite 130, Bothell, WA 98011-3757 | 2007-08-05 |
| 1962583609 | Craig Jaffe | Psychiatry & Neurology | 216 James St, Seattle, WA 98104-2212 | 2006-10-18 |
| 1063451805 | Daniel Eugene Wolf | Psychiatry & Neurology | 6537 35th Ave Sw, Seattle, WA 98126-3005 | 2006-06-06 |
| 1235765280 | Pacific Phoenix Group Pllc | Psychiatry & Neurology | 601 Main St Ste 505, Vancouver, WA 98660-3414 | 2020-03-20 |
| 1215179585 | Alexandra March Bright | Psychiatry & Neurology | 12360 Lake City Way Ne, Suite 200, Seattle, WA 98125-5447 | 2009-04-01 |
| 1780851261 | Fred Adams Montgomery | Psychiatry & Neurology | 215 S 11th Ave, D, Yakima, WA 98902-3255 | 2008-05-13 |
| 1831227065 | Richard K Ries | Psychiatry & Neurology | 325 9th Ave, Seattle, WA 98104-2420 | 2007-03-01 |
| 1518064955 | Rosa Frances Merino | Psychiatry & Neurology | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2006-09-20 |
| 1215049176 | George Timothy Bondurant | Psychiatry & Neurology | 1660 S Columbian Way, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108-1532 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KALYAN DANDALA.
| 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.