Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD434570 | PA |
Y | 2080P0210X | Pediatric Nephrologist | 60096072 | WA |
NPI | 1669630240 |
---|---|
Provider Name | Dr. Raj Munshi |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 30/07/2013 |