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Individual
LLEWELLYN NAYAGAM PACKIA RAJ
Active
Individual
LLEWELLYN NAYAGAM PACKIA RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00040226
WA
208100000X
Physical Medicine & Rehabilitation Physician
MD00040226
WA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD00040226
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD00040226
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659339695
—
WA
Enumeration date
05/01/2006
Last updated
05/31/2019
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