Rajan, Archana Madhuri
Rajan, Archana Madhuri is an individual health care provider with primary practice located at 9230 Sky Island Dr E , Bonney Lake WA 98391-7385. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rajan, Archana Madhuri can be contacted via phone (253) 750-6000.Contact Information
Primary practice address
9230 Sky Island Dr E
Bonney Lake WA 98391-7385
Phone: (253) 750-6000
Fax: (253) 426-6344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60900975 | Washington |
Profile Details
| NPI number | 1649621806 |
|---|---|
| LBN Legal business name | Rajan, Archana Madhuri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2016 |
| Last updated | Dec 9th, 2020 - about 6 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 | 1649621806 | NPPES |
| Washington | MEDICAID | 2141661 |
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