MEDICARE: NAMRATA L DASS M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	MD6070550	WA
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	R1733	TX

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	:	1568775930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAMRATA L DASS M.D.

Provider Business Mailing Address
First Line	:	560 GAGE BLVD
Second Line	:	SUITE 203
City	:	RICLAND
State	:	WA
Zip	:	99352
Country	:	US
Telephone Number	:	509-942-3627
Fax Number	:	509-942-2268

Provider Business Practice Location Address
First Line	:	7417 W GRAND PKWY S STE 150
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-8901
Country	:	US
Telephone Number	:	281-884-9705
Fax Number	:	754-203-0832

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

Provider Enumeration Date	:	07/14/2010
Last Update Date	:	12/24/2019

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