Provider Demographics
NPI:1578829644
Name:VOSS, RAINA VACHHANI (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RAINA
Middle Name:VACHHANI
Last Name:VOSS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:RAINA
Other - Middle Name:
Other - Last Name:VACHHANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1440 N DAYTON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-2644
Mailing Address - Country:US
Mailing Address - Phone:312-227-4000
Mailing Address - Fax:
Practice Address - Street 1:4540 SAND POINT WAY NE
Practice Address - Street 2:BUILDING 1, SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3941
Practice Address - Country:US
Practice Address - Phone:206-987-2028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60539701208000000X
IL036.1474562080A0000X
390200000X
IL0361474562080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program