MEDICARE: DR. RITU PABBY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	0101244890	VA
2	207K00000X	Allergy & Immunology Physician	5714	PA
3	207K00000X	Allergy & Immunology Physician	MD60623801	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184699977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITU PABBY MD

Provider Business Mailing Address
First Line	:	12615 E MISSION AVE STE 300
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-1047
Country	:	US
Telephone Number	:	509-960-5520
Fax Number	:	509-255-7792

Provider Business Practice Location Address
First Line	:	12615 E MISSION AVE STE 300
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-1047
Country	:	US
Telephone Number	:	509-960-5520
Fax Number	:	509-255-7792

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	12/15/2022

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Directions to “ DR. RITU PABBY MD” Practice Location

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