MEDICARE: DR. ARUN RAGHUPATHY 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	207RC0000X	Cardiovascular Disease Physician	A103439	CA
2	207RI0011X	Interventional Cardiology Physician	A103439	CA

General Provider Information

NPI Number	:	1245358324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARUN RAGHUPATHY MD

Provider Business Mailing Address
First Line	:	2 BON AIR RD
Second Line	:	SUITE 100
City	:	LARKSPUR
State	:	CA
Zip	:	94939-1141
Country	:	US
Telephone Number	:	415-927-0666
Fax Number	:	415-927-6159

Provider Business Practice Location Address
First Line	:	2 BON AIR RD STE 100
Second Line	:
City	:	LARKSPUR
State	:	CA
Zip	:	94939-1144
Country	:	US
Telephone Number	:	415-927-0666
Fax Number	:	415-927-6159

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	10/07/2019

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