Individual
ASHWIN LAXMINARAYANA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3752 MONTLAKE BLVD, SEATTLE, WA 98195-4770
(206) 598-4055
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00046230
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD00046230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013097096
—
WA
01
—
305970
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/16/2006
Last updated
12/05/2013
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