Healthcare Provider Details

I. General information

NPI: 1235405580
Provider Name (Legal Business Name): RAN HUO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2012
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12303 NE 130TH LN STE CORAL550
KIRKLAND WA
98034-3099
US

IV. Provider business mailing address

12303 NE 130TH LN STE CORAL550
KIRKLAND WA
98034-3099
US

V. Phone/Fax

Practice location:
  • Phone: 425-899-3224
  • Fax: 425-544-8901
Mailing address:
  • Phone: 425-899-3224
  • Fax: 425-544-8901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD60662867
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60662867
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: