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

Dr. Kiran Gangadhar, MD

Individual provider Nuclear Medicine Physician · NPI 1679906580

Dr. Kiran Gangadhar, MD is a Diagnostic Radiology in Santa Monica, California. Qualified in 2007, 19 years ago. Practices with Arizona Diagnostic Radiology Group LLC, a 63-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
19
Licensed in
CA, WA
In the registry since
2013
Specialties on file
4
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

2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Phone: (310) 315-1000
Show map & directions

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

Additional practice locations (4)

  • 21700 Highway 99, Edmonds, WA 98026-8034 — (425) 640-4949
  • 11521 Ne 128th St Ste 200, Kirkland, WA 98034-4317 — (425) 952-6100
  • 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 — (425) 563-1500
  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 520-5700

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A179353 (CA)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence MD60751368 (WA)
Body Imaging Physician Taxonomy 2085B0100X · Licence MD60751368 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60751368 (WA)

Record details

NPI number1679906580
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2013
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Arizona Diagnostic Radiology Group Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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