DR. KALYAN DANDALA MD NPI 1336295864

NPI Information

  • NPI: 1336295864
  • Provider Name: DR. KALYAN DANDALA, MD
  • Classification: Psychiatry & Neurology - 2084P0802X
  • Specialization: Addiction Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1215 120TH AVE NE
    SUITE 201
    BELLEVUE, WA
    ZIP 98005
  • Phone: (425) 283-4200

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NPI Details

DR. Kalyan Dandala, MD is an addiction psychiatry psychiatry neurology in Bellevue, WA. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. DR. Kalyan Dandala, MD NPI is 1336295864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1215 120TH AVE NE
SUITE 201
BELLEVUE, WA
ZIP 98005-135
Phone: (425) 283-4200
Fax: (425) 458-7528

The NPI 1336295864 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 7/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryMD00048010WASHINGTONNo
22084A0401XPsychiatry & NeurologyAddiction MedicineMD00048010WASHINGTONNo
3207QA0401XFamily MedicineAddiction MedicineMD00048010WASHINGTONNo
42084P0802XPsychiatry & NeurologyAddiction PsychiatryMD00048010WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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