Individual
DR. BABACK ROSHANRAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-8079
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00048819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740398585
—
WA
Enumeration date
08/29/2006
Last updated
10/17/2013
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