Individual
DR. BABURAJ THANKAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 690-3585
(425) 690-9585
Mailing address
3600 LIND AVE SW STE 100, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301083145
MI
2084N0400X
Neurology Physician
A102993
CA
2084N0400X
Neurology Physician
Primary
MD60118975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022266
—
WA
Enumeration date
02/28/2008
Last updated
10/11/2021
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