Prasad, Shonali Rayneeka
Prasad, Shonali Rayneeka is an individual health care provider with primary practice located at 3901 Ne 4Th St Ste 105 , Renton WA 98056-4100. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Prasad, Shonali Rayneeka can be contacted via phone (425) 690-3410.Contact Information
Primary practice address
3901 Ne 4Th St Ste 105
Renton WA 98056-4100
Phone: (425) 690-3410
Fax: (425) 690-9410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP70094616 | Washington |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1336961424 |
|---|---|
| LBN Legal business name | Prasad, Shonali Rayneeka |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2024 |
| Last updated | May 10th, 2026 - about 6 months 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 | 1336961424 | NPPES |
| Washington | MEDICAID | 20175152 |
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