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

Dr. Shakunthala Revannagowda, MD

Individual provider Diagnostic Radiology Physician · NPI 1659729564

Dr. Shakunthala Revannagowda, MD is a Nuclear Medicine in Seattle, Washington. Qualified in 2007, 19 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
19
Licensed in
WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1959 NE Pacific St
Seattle, WA 98195-3901
Phone: (206) 520-5000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nuclear Radiology Physician (primary) Taxonomy 2085N0904X · Licence MD60998671 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60998671 (WA)

Record details

NPI number1659729564
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022

Medicare enrollment

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

Medicare specialtyNUCLEAR MEDICINE
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Seattle