Healthcare Provider Details

I. General information

NPI: 1497691240
Provider Name (Legal Business Name): RIKAL PRAJAPATI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 ADMIRALTY WAY
EVERETT WA
98204-6259
US

IV. Provider business mailing address

13000 ADMIRALTY WAY
EVERETT WA
98204-6259
US

V. Phone/Fax

Practice location:
  • Phone: 206-586-9080
  • Fax:
Mailing address:
  • Phone: 206-586-9080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberWDL791P1B33B
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: