Provider Demographics
NPI:1467630004
Name:RAI, AMARJIT S (DO)
Entity Type:Individual
Prefix:DR
First Name:AMARJIT
Middle Name:S
Last Name:RAI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22306 59TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-5603
Mailing Address - Country:US
Mailing Address - Phone:347-327-6608
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF WASHINGTON
Practice Address - Street 2:701 5TH AVE SUITE 700
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:11803
Practice Address - Country:US
Practice Address - Phone:206-543-1002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60624612207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine