Packia Raj, Llewellyn Nayagam
Packia Raj, Llewellyn Nayagam is an individual health care provider with primary practice located at 1750 112Th Ave Ne Ste D258 , Bellevue WA 98004-3727. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Packia Raj, Llewellyn Nayagam can be contacted via phone (425) 498-2272.Contact Information
Primary practice address
1750 112Th Ave Ne Ste D258
Bellevue WA 98004-3727
Phone: (425) 498-2272
Fax: (425) 498-2334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00040226 | Washington |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD00040226 | Washington |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | MD00040226 | Washington |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | MD00040226 | Washington |
Profile Details
| NPI number | 1659339695 |
|---|---|
| LBN Legal business name | Packia Raj, Llewellyn Nayagam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | May 31st, 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 | 1659339695 | NPPES |
| Washington | MEDICAID | 1659339695 |
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