Individual
RAKESH VIJAY KHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4310 COLBY AVE STE 203, EVERETT, WA 98203-2338
(425) 252-8102
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
271419
NY
208800000X
Urology Physician
35.094194
OH
208800000X
Urology Physician
Primary
MD61288164
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2009
Last updated
05/12/2023
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