Individual
VIJAYTHA RATHNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21616 76TH AVE W STE EDMONDS, EDMONDS, WA 98026-7512
(425) 640-4810
(425) 640-4884
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
LT-3654
NH
Other
Enumeration date
07/01/2011
Last updated
03/01/2021
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