Individual
RAMESH RENGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD. PHD
Contact information
Practice address
1570 N 115TH ST, SEATTLE, WA 98133-8401
(206) 306-2804
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD60337539
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801981428
—
WA
Enumeration date
10/03/2006
Last updated
06/17/2013
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