Provider Demographics
NPI:1548251119
Name:SINGH, GIULIANA VENABLES (DO)
Entity type:Individual
Prefix:DR
First Name:GIULIANA
Middle Name:VENABLES
Last Name:SINGH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:GIULIANA
Other - Middle Name:
Other - Last Name:VENABLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2265 116TH AVE NE STE 210-7
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3012
Mailing Address - Country:US
Mailing Address - Phone:425-591-8435
Mailing Address - Fax:
Practice Address - Street 1:2265 116TH AVE NE STE 210-7
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3012
Practice Address - Country:US
Practice Address - Phone:425-591-8435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00002058207Q00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8443954Medicaid
WA8859052Medicare PIN
WA8443954Medicaid