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Individual

RAGHU MUDUMBAI

Active
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Individual

RAGHU MUDUMBAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00039115
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0231616
L&I
WA
01
180041597
RAIL ROAD MEDICARE
WA
05
1881737344
WA
01
269730
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
02/15/2007
Last updated
01/25/2012
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