Edula, Raja Gopal Reddy
Edula, Raja Gopal Reddy is an individual health care provider with primary practice located at 4011 Talbot Rd S Ste 500 , Renton WA 98055-5782. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Edula, Raja Gopal Reddy can be contacted via phone (425) 690-3488.Contact Information
Primary practice address
4011 Talbot Rd S Ste 500
Renton WA 98055-5782
Phone: (425) 690-3488
Fax: (425) 690-9088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60834483 | Washington |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 25MA09332700 | New Jersey |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD60834483 | Washington |
Profile Details
| NPI number | 1568454064 |
|---|---|
| LBN Legal business name | Edula, Raja Gopal Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Feb 23rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568454064 | NPPES |
| Washington | MEDICAID | 2104972 |
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