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Individual

GANESH RAGHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD00019416
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0231807
L&I
WA
01
110055243
RAILROAD MEDICARE
WA
05
1821188780
WA
01
5397
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/13/2006
Last updated
11/20/2012
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