Puthalath Koroth Raghuprasad M.D.

NPI 1073570032 - Allergy & Immunology - 207KA0200X

NPI Details
NPI 1073570032
Gender Male
Enumeration Date 04/26/2006
Last Updated 07/23/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
2400 E 8TH ST
ODESSA TX, 79761-4902, US
Phone (432) 332-5533
Fax (432) 580-5533
Business Location
2400 E 8TH ST
ODESSA TX, 79761-4902, US
Phone (432) 332-5533
Fax (432) 580-5533
Toxanomy
Taxonomy Code 207KA0200X
License State Texas
License Number F8987
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According to our database, Dr. Puthalath Koroth Raghuprasad M.D. NPI is 1073570032, taxonomy code is 207KA0200X and license number is F8987, license state is located at Texas. Puthalath Koroth Raghuprasad M.D. physically located at 2400 E 8th St, Odessa TX, 79761-4902. NPI Number Puthalath Koroth Raghuprasad M.D. has the Individual type.

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1073570032 NPI number is provided on an as is basis without warranty of any kind. 1073570032 is maintained by the National Plan & Provider Enumeration System. The contents of Puthalath Koroth Raghuprasad M.D. are for informational purposes only.