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General NPI Number Information
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NPI Number | 1972745354
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Entity Type | Individual
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Provider Name | INIMAI RATHINAVEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 11511 NE 10TH ST
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City | BELLEVUE
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State | WA
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Zip | 98004-8578
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Country | US
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Telephone | 425-502-3000
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Fax | 844-620-1839
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Provider Business Mailing Address
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Address Line | 6626 E 75TH ST STE 500
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2890
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 50583
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 50583
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License Number State | AZ
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