Healthcare Provider Details

I. General information

NPI: 1801088794
Provider Name (Legal Business Name): ARPAN WAGHRAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST C212, BOX 356340
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1959 NE PACIFIC ST C212, BOX 356340
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-0065
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberMD00047564
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: