Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD00021846 | WA |
NPI | 1073606331 |
---|---|
Provider Name | Robert M Rakita |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6175 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2006 |
Last Update Date | 11/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0039574 | LABOR AND INDUSTRIES # (01) | WA |
0251908 | L & I (01) | WA |
1073606331 | (05) | WA |
440003437 | RAILROAD MEDICARE (01) | WA |
D33636 | (02) | |
MD5603W | (05) | AK |
RA6342 | BLUE SHIELD # (01) | WA |
US2102745 | AETNA SPECIALIST PIN (01) | WA |