Individual
BHAVANA BAJRACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
660 SW 39TH ST, SUITE 150, RENTON, WA 98057-4912
(425) 690-3485
(425) 690-9085
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60558512
WA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD60558512
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2049466
—
WA
Enumeration date
12/13/2012
Last updated
08/17/2021
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