Healthcare Provider Details

I. General information

NPI: 1245806827
Provider Name (Legal Business Name): RAHUL PURBEY M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 SE BISHOP BLVD STE 201
PULLMAN WA
99163-5517
US

IV. Provider business mailing address

825 SE BISHOP BLVD STE 201
PULLMAN WA
99163-5517
US

V. Phone/Fax

Practice location:
  • Phone: 509-336-7722
  • Fax: 509-418-5964
Mailing address:
  • Phone: 509-336-7722
  • Fax: 509-418-5964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD.MD.70059736
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: