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NPI Code Detail

MEDICARE: CHETHANA J RAGHUPATHY MD

MEDICARE: CHETHANA J 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
1207R00000XInternal Medicine Physician35081199ROH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356396766
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHETHANA J RAGHUPATHY MD
Provider Business Mailing Address
First Line : 7707 PARAGON RD
Second Line : STE 101
City : DAYTON
State : OH
Zip : 45459-4041
Country : US
Telephone Number : 937-208-6920
Fax Number : 937-208-6948
Provider Business Practice Location Address
First Line : 7707 PARAGON RD
Second Line : STE 101
City : DAYTON
State : OH
Zip : 45459-4041
Country : US
Telephone Number : 937-208-6920
Fax Number : 937-208-6948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 02/13/2013

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Directions to “ CHETHANA J RAGHUPATHY MD” Practice Location

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