Kalyan Dandala, Md Pllc is a Addiction Psychiatry Clinic in Renton, Washington. It is located at 350 S 38th Ct Ste 100, Renton, WA and its contact number is 714-828-1800. The authorized person for Kalyan Dandala, Md Pllc is Magdalen Gustilo
who is Director Of Payer Relations of the clinic and his/her contact number is 714-568-7667. The primary license number for Kalyan Dandala, Md Pllc is MD00048010 (Addiction Psychiatry) in Washington. Kalyan Dandala, Md Pllc Clinic 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.
Complete Clinic Profile:
Kalyan Dandala, Md Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Kalyan Dandala, Md Pllc
Specialization:
Addiction Psychiatry
Clinic Address:
350 S 38th Ct Ste 100, Renton, Washington, 98055-5777
Phone:
714-828-1800
Fax:
714-882-1186
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Magdalen Gustilo
Position:
Director Of Payer Relations
Contact Number:
714-568-7667
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kalyan Dandala, Md Pllc clinic are as mentioned below.
NPI Number:
1558600650
NPI Enumeration Date:
08 Feb, 2013
NPI Last Update On:
08 May, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kalyan Dandala, Md Pllc are as mentioned below.
Specialization
License Number
State
Status
Addiction Psychiatry
MD00048010
Washington
Primary
Adult Health
AP30007637
Washington
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kalyan Dandala, Md Pllc 18401 Von Karman Ave Ste 500, Irvine, California
Zip:
92612-8531
Phone Number:
714-828-1800
Fax Number:
714-882-1186
Patients can reach Kalyan Dandala, Md Pllc at 350 S 38th Ct Ste 100, Renton, Washington or can call to book an appointment on 714-828-1800. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.