Individual
RAGHU MUDUMBAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195-6485
(206) 731-3225
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
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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