Individual
EDSON GERRY PONRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 589-8700
(253) 581-6588
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00043988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186778
LIWA
WA
01
—
0186779
LIWA
WA
01
—
1186PO
BSWA
WA
01
—
2165PO
BSWA
WA
05
—
8400749
—
WA
Enumeration date
06/04/2006
Last updated
03/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us