Healthcare Provider Details

I. General information

NPI: 1154862019
Provider Name (Legal Business Name): RAJPAUL ATTARIWALA MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2017
Last Update Date: 03/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1371 W BROADWAY
VANCOUVER BC
V6H1G9
CA

IV. Provider business mailing address

3005 W12TH AVE
VANCOUVER BC
V6K 2R4
CA

V. Phone/Fax

Practice location:
  • Phone: 604-733-4007
  • Fax:
Mailing address:
  • Phone: 604-734-1022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC135206
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD00047728
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: