Individual
DR. PANKAJ RAJVANSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4011 TALBOT RD S STE 500, RENTON, WA 98055-5782
(425) 690-3488
(425) 690-9088
Mailing address
4011 TALBOT RD S STE 500, RENTON, WA 98055-5782
(425) 690-3488
(425) 690-9088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00036106
WA
207RG0100X
Gastroenterology Physician
Primary
MD00036106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010326
—
WA
05
—
1437148749
—
WA
05
—
8240251
—
WA
Enumeration date
10/19/2005
Last updated
03/13/2022
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