Provider Demographics
NPI:1598266587
Name:BHANGOO, BIKRAMJIT (REG INTERPRETER)
Entity Type:Individual
Prefix:
First Name:BIKRAMJIT
Middle Name:
Last Name:BHANGOO
Suffix:
Gender:M
Credentials:REG INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1773 43RD ST NE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-7515
Mailing Address - Country:US
Mailing Address - Phone:206-351-5451
Mailing Address - Fax:877-517-9623
Practice Address - Street 1:1773 43RD ST NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-7515
Practice Address - Country:US
Practice Address - Phone:206-351-5451
Practice Address - Fax:877-517-9623
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-24
Last Update Date:2018-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2295171R00000X
WA3780171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2295OtherDSHS AUTHORIZATION LETTER
WA3780OtherDSHS AUTHORIZATION LETTER