MEDICARE: ABHINAV RAGHAVENDRA KATTI DO

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	2084N0400X	Neurology Physician	036177533	IL
2	2084N0400X	Neurology Physician	19786	CA
3	2084N0400X	Neurology Physician	OS22887	FL
4	2084N0400X	Neurology Physician	5101028717	MI

General Provider Information

NPI Number	:	1932661741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABHINAV RAGHAVENDRA KATTI DO

Provider Business Mailing Address
First Line	:	315 MEDICAL PARK DR STE 202
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-2973
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 MEDICAL PARK DR STE 202
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-2973
Country	:	US
Telephone Number	:	704-403-3000
Fax Number	:

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

Provider Enumeration Date	:	04/01/2019
Last Update Date	:	03/16/2026

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