Provider Demographics
NPI:1881088995
Name:NEPAL, RAKSHA (MD)
Entity type:Individual
Prefix:
First Name:RAKSHA
Middle Name:
Last Name:NEPAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14841 179TH AVE SE STE 210
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-1127
Mailing Address - Country:US
Mailing Address - Phone:360-217-1155
Mailing Address - Fax:360-217-1154
Practice Address - Street 1:14841 179TH AVE SE STE 210
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1127
Practice Address - Country:US
Practice Address - Phone:360-217-1155
Practice Address - Fax:360-217-1154
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-26
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.146569208M00000X
WA61070846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty