RAJIB CHOUDHURY (NPI# 1447335401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447335401 |
| Entity Type | Individual |
| Full Name | RAJIB CHOUDHURY |
| Credential | MD |
| Practice Address |
4011 Talbot Road South Suite 500 Renton WA 98055 |
| Mailing Address |
Po Box 59028 Renton WA 98058-2028 |
| Practice Telephone | 4252515110 |
| Practice Fax Number | 4257937376 |
| Mailing Telephone | 4252515110 |
| Mailing Fax Number | 4257937458 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD00042188 | WA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD00042188 | WA | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
MD00042188 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CRIME VICTIMS | 8932882 | 01 |
| WA | 8350530 | 05 | |
| WA | REGENCE | 3908CH | 01 |
| WA | RR MEDICARE | P00006652 | 01 |
| WA | L&I | 0169915 | 01 |
| Street Address |
4011 TALBOT ROAD SOUTH SUITE 500 |
| City | RENTON |
| State | WA |
| Zip Code | 98055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332700 | Anna L Lien | Registered Nurse | 4011 Talbot Road South, Suite 500, Renton, WA 98055-5791 | 2006-01-27 |
| 1043368426 | Southlake Clinic Inc Ps | Clinic/Center | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2007-01-08 |
| 1417032798 | Duane G Carlson | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-26 |
| 1962587311 | Michael Martin | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-26 |
| 1376628354 | Terence A Block | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-26 |
| 1326122268 | George L Dolack | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-25 |
| 1275618720 | John W Nemanich | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-25 |
| 1245312420 | Christopher A Dire | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-19 |
| 1750463758 | William A Pearce | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-19 |
| 1952483943 | Frank J Thomas Jr. | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417117771 | Soha Ahmad | Internal Medicine | 4011 Talbot Rd S, Ste 500, Renton, WA 98055-5773 | 2008-06-11 |
| 1962587311 | Michael Martin | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-26 |
| 1376628354 | Terence A Block | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-26 |
| 1326122268 | George L Dolack | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-25 |
| 1275618720 | John W Nemanich | Internal Medicine | 4011 Talbot Road South, Suite 500, Renton, WA 98055 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255844163 | Shc Medical Center - Yakima | Internal Medicine | 1005 W Walnut St Ste 120, Yakima, WA 98902-3360 | 2017-11-14 |
| 1295113108 | Sophia Larson | Internal Medicine | 1959 Ne Pacific St Ste Bb-552, Seattle, WA 98195 | 2015-05-12 |
| 1780002485 | Kavisha Singh | Internal Medicine | 62 W 7th Ave Ste 450, Spokane, WA 99204-2321 | 2014-04-01 |
| 1740522127 | Takor Besong Arrey-mbi | Internal Medicine | Madigan Army Medicalcenter 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-03-22 |
| 1023357845 | Samuel Everett George | Internal Medicine | 19005 Se 34th St Bldg 3, Vancouver, WA 98683 | 2013-02-14 |
| 1386997740 | Fredric Tobis | Internal Medicine | 7411 Se 36th St, Mercer Island, WA 98040-3412 | 2012-10-23 |
| 1063716595 | Jeffrey David Feldstein | Internal Medicine | 5415 Ne 52nd St, Vancouver, WA 98661-7838 | 2010-12-23 |
| 1407162571 | Providence Health & Services - Washington | Internal Medicine | 510 E Amende Drive, Odessa, WA 99159-0000 | 2010-08-26 |
| 1881907715 | Providence Health & Services Washington | Internal Medicine | 62 W 7th Ave, Spokane, WA 99204-2321 | 2010-07-20 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.