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

Dr. Giridhar Mysore Shivaram, MD

Individual provider Diagnostic Radiology Physician · NPI 1558517680

Dr. Giridhar Mysore Shivaram, MD is a Diagnostic Radiology in Seattle, Washington. Graduated from Stanford University School of Medicine in 2007, 19 years ago. Practices with The Association of Chrmc and University Physicians, a 307-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
19
Trained at
Stanford University School of Medicine
Licensed in
WA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone: (206) 987-2166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD60180267 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60180267 (WA)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence MD60180267 (WA)

Record details

NPI number1558517680
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 8, 2008
Last updated in NPPESJuly 27, 2013

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice The Association Of Chrmc And University Physicians — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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