Individual
RAJIB CHOUDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4011 TALBOT ROAD SOUTH, SUITE 500, RENTON, WA 98055
(425) 690-3482
(425) 690-9082
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00042188
WA
207RI0011X
Interventional Cardiology Physician
MD00042188
WA
207UN0901X
Nuclear Cardiology Physician
MD00042188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169915
L&I
WA
05
—
1010691
—
WA
01
—
3908CH
REGENCE
WA
05
—
8350530
—
WA
01
—
8932882
CRIME VICTIMS
WA
01
—
P00006652
RR MEDICARE
WA
Enumeration date
10/26/2006
Last updated
08/18/2021
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