Provider Demographics
NPI:1972097004
Name:MAGANTI, RAMA NARASIMHA RAO (RPH)
Entity Type:Individual
Prefix:
First Name:RAMA NARASIMHA RAO
Middle Name:
Last Name:MAGANTI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 MINOR AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2138
Mailing Address - Country:US
Mailing Address - Phone:206-622-6094
Mailing Address - Fax:206-622-3667
Practice Address - Street 1:515 MINOR AVE STE 120
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2138
Practice Address - Country:US
Practice Address - Phone:206-622-6094
Practice Address - Fax:206-622-3667
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-21
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60778909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist