Provider Demographics
NPI:1225230733
Name:VARUN LAOHAPRASIT MD PC
Entity Type:Organization
Organization Name:VARUN LAOHAPRASIT MD PC
Other - Org Name:VARUN LAOHAPRASIT MD PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:VARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAOHAPRASIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-899-6226
Mailing Address - Street 1:13107 121ST WAY NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3051
Mailing Address - Country:US
Mailing Address - Phone:425-899-6226
Mailing Address - Fax:425-899-6220
Practice Address - Street 1:13107 121ST WAY NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3051
Practice Address - Country:US
Practice Address - Phone:425-899-6226
Practice Address - Fax:425-899-6220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00024114174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1085448Medicaid
WAF30594Medicare UPIN
WA1085448Medicaid