Pakkianathan, Stephen Jebaraj
Pakkianathan, Stephen Jebaraj is an individual health care provider with primary practice located at 105 W 8Th Ave Ste 6020 , Spokane WA 99204-2319. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Pakkianathan, Stephen Jebaraj can be contacted via phone (509) 455-5050.Contact Information
Primary practice address
105 W 8Th Ave Ste 6020
Spokane WA 99204-2319
Phone: (509) 455-5050
Fax: (509) 747-5391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD60310359 | Washington |
Profile Details
| NPI number | 1124227566 |
|---|---|
| LBN Legal business name | Pakkianathan, Stephen Jebaraj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2007 |
| Last updated | Jan 19th, 2021 - about 4 years ago |
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 | 1124227566 | NPPES |
| Washington | MEDICAID | 2022661 |
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