Provider Demographics
NPI:1437531324
Name:JANMODAYA MIDWIFERY, PLLC
Entity type:Organization
Organization Name:JANMODAYA MIDWIFERY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:AMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SREENIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MPH, CNM, ARNP
Authorized Official - Phone:425-243-4715
Mailing Address - Street 1:3518 FREMONT AVE N
Mailing Address - Street 2:#435
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8814
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3518 FREMONT AVE N
Practice Address - Street 2:#435
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8814
Practice Address - Country:US
Practice Address - Phone:425-243-4715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60238014261QH0100X
WAAP60518676261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service