Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dhatri Kallala

Individual provider Diagnostic Radiology Physician · NPI 1023988995

Dhatri Kallala is a Nuclear Medicine in Seattle, Washington. Qualified in 2018, 8 years ago. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

1959 NE Pacific St
Seattle, WA 98195-0001
Phone: (206) 520-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Radiology Physician (primary) Taxonomy 2085N0904X · Licence TR70027157 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence TR70027157 (WA)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence TR70027157 (WA)

Record details

NPI number1023988995
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedNovember 6, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNUCLEAR MEDICINE
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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