Individual
MR. RUDRA RAMANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 S 30TH AVE STE 101, YAKIMA, WA 98902-3713
(509) 248-7715
(509) 453-4319
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD61611016
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD61611016
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
03/03/2026
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