Individual
RAVI MOONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS: M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00030167
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039588
LABOR AND INDUSTRIES
WA
01
—
1093809519
MONTANA MEDICAID
WA
05
—
8176315
—
WA
05
—
MD0998W
—
AK
01
—
MO3297
BLUE SHIELD NUMBER
WA
01
—
US2142676
AETNA SPECIALIST PIN
WA
Enumeration date
10/02/2006
Last updated
02/22/2013
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