Individual
PRAVIN KHEMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 17TH AVE STE 540, SEATTLE, WA 98122
(206) 386-3880
(206) 386-3882
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
A98698
CA
2084N0400X
Neurology Physician
Primary
MD00044601
WA
2084N0400X
Neurology Physician
N3788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0198906
STATE L&I
WA
05
—
8430126
—
WA
01
—
8906555
STATE CRIMEVICTIMS
WA
Enumeration date
08/05/2006
Last updated
06/29/2018
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