Provider Demographics
NPI:1992916050
Name:DELIGANIS, ANASTASIA VASILIKI (MD)
Entity type:Individual
Prefix:DR
First Name:ANASTASIA
Middle Name:VASILIKI
Last Name:DELIGANIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18605 17TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-3316
Mailing Address - Country:US
Mailing Address - Phone:206-542-4556
Mailing Address - Fax:
Practice Address - Street 1:18605 17TH AVE NW
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98177-3316
Practice Address - Country:US
Practice Address - Phone:206-542-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000353092085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology