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

Soren M Gantt, MD

Individual provider Pediatrics Physician · NPI 1083661631

Soren M Gantt, MD is a Pediatrics Physician in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
2
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) 987-1909
Fax: (206) 987-3890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Infectious Diseases Physician (primary) Taxonomy 2080P0208X · Licence MD00043059 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence MD00043059 (WA)

Record details

NPI number1083661631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2006
Last updated in NPPESMay 14, 2008
Mailing addressPo Box 50010, Seattle, WA 98105-1010

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