Manam, Rajesh
Manam, Rajesh is an individual health care provider with primary practice located at 1703 S Meridian Ste 305 , Puyallup WA 98371-7590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Manam, Rajesh can be contacted via phone (253) 272-8512.Contact Information
Primary practice address
1703 S Meridian Ste 305
Puyallup WA 98371-7590
Phone: (253) 272-8512
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00047698 | Washington |
Profile Details
| NPI number | 1912108820 |
|---|---|
| LBN Legal business name | Manam, Rajesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Jun 21st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912108820 | NPPES |
| Washington | Other | MD00047698 | WA LICENSE |
| Washington | MEDICAID | 8483893 | WA LICENSE |
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