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NPI Code Detail

MEDICARE: DR. ARUN V RAGHAVAN MD

MEDICARE: DR. ARUN V RAGHAVAN 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
1207P00000XEmergency Medicine PhysicianM4459TX
2207P00000XEmergency Medicine Physician46832MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3P00334339OTHERTXRAILROAD
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
58W1780OTHERTXBCBS

General Provider Information

NPI Number : 1831162700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARUN V RAGHAVAN MD
Provider Business Mailing Address
First Line : 3301 MADISON AVE
Second Line :
City : HURST
State : TX
Zip : 76054-6039
Country : US
Telephone Number : 925-337-3004
Fax Number :
Provider Business Practice Location Address
First Line : 900 8TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3902
Country : US
Telephone Number : 817-347-5830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 10/10/2025

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