Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | OP61155870 | WA |
NPI | 1124482716 |
---|---|
Provider Name | Ms. Raksha Pradhan |
First Address | Spokane, WA 99201-3208 |
Second Address | Spokane, WA 99201-3208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2016 |
Last Update Date | 01/12/2021 |