Individual
RAJNISH MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 MADISON ST, STE 1220, SEATTLE, WA 98104-3588
(206) 215-4250
Mailing address
1221 MADISON ST, STE 1220, SEATTLE, WA 98104-3588
(206) 215-4250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301096338
MI
207RG0100X
Gastroenterology Physician
4301096338
MI
207RG0100X
Gastroenterology Physician
Primary
MD60234885
WA
390200000X
Student in an Organized Health Care Education/Training Program
0116017320
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60234885
WA STATE LICENSE
WA
Enumeration date
05/17/2007
Last updated
06/17/2021
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