Provider Demographics
NPI:1467600262
Name:MILANOVIC GALBRAITH, RAJKA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJKA
Middle Name:
Last Name:MILANOVIC GALBRAITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 HOYT AVE
Mailing Address - Street 2:WESTERN WASHINGTON MEDICAL GROUP
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2316
Mailing Address - Country:US
Mailing Address - Phone:425-317-8025
Mailing Address - Fax:425-317-9516
Practice Address - Street 1:4301 HOYT AVE
Practice Address - Street 2:WESTERN WASHINGTON MEDICAL GROUP
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2316
Practice Address - Country:US
Practice Address - Phone:425-317-8025
Practice Address - Fax:425-317-9516
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD 00034791207Q00000X
CAC54713207Q00000X
MA252545207Q00000X
OH35069389207Q00000X
IL036108551207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG22660Medicare UPIN