Provider Demographics
NPI:1184419897
Name:IBRAR, KHUMAR I (RRT)
Entity type:Individual
Prefix:
First Name:KHUMAR
Middle Name:I
Last Name:IBRAR
Suffix:
Gender:
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16429 SE 263RD ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-5838
Mailing Address - Country:US
Mailing Address - Phone:206-291-3799
Mailing Address - Fax:
Practice Address - Street 1:16429 SE 263RD ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-5838
Practice Address - Country:US
Practice Address - Phone:206-291-3799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALR60563232227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered