Provider Demographics
NPI:1275113177
Name:RAI, RAMANDEEP KAUR (MA3596,MA3451,MA3683)
Entity Type:Individual
Prefix:
First Name:RAMANDEEP
Middle Name:KAUR
Last Name:RAI
Suffix:
Gender:F
Credentials:MA3596,MA3451,MA3683
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26814 136TH PL SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-8081
Mailing Address - Country:US
Mailing Address - Phone:206-765-9983
Mailing Address - Fax:
Practice Address - Street 1:26814 136TH PL SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98042-8081
Practice Address - Country:US
Practice Address - Phone:206-765-9983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA3451171R00000X
WAMA3683171R00000X
WASA2207171R00000X
WASA2206171R00000X
WASA2140171R00000X
WAMA3596171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
No171W00000XOther Service ProvidersContractor