Healthcare Provider Details

I. General information

NPI: 1255407888
Provider Name (Legal Business Name): JAMES RANJET BHASKAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11800 NE 128TH ST SUITE 560
KIRKLAND WA
98034-7208
US

IV. Provider business mailing address

PO BOX 5127
EVERETT WA
98206-5127
US

V. Phone/Fax

Practice location:
  • Phone: 425-899-5200
  • Fax:
Mailing address:
  • Phone: 425-899-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD00031527
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00031527
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: