Individual
NAVDEEP S RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34509 9TH AVE S STE 104, FEDERAL WAY, WA 98003-8707
(253) 572-5140
(253) 750-6100
Mailing address
34509 9TH AVE S STE 104, FEDERAL WAY, WA 98003-8707
(253) 572-5140
(253) 750-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39636
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
39636
WA
207RP1001X
Pulmonary Disease Physician
39636
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD00039636
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007936
—
WA
01
—
290013813
RR MEDICARE
WA
05
—
8279358
—
WA
Enumeration date
08/25/2005
Last updated
12/09/2020
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