Raghavan Clinic, PA

NPI #1992897755 in Wichita, Kansas

Provider Information

NPI Number: 1992897755
Entity Type: Organization
Organization Name: Raghavan Clinic, PA
Primary Specialty: Specialist
Enumeration Date: Sep 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1035 N EMPORIA ST
Address 2: SUITE 245
City: Wichita
State: Kansas
ZIP Code: 67214-2944
Phone: (316) 262-7662

Authorized Official

Name: DR. PRAKASH V RAGHAVAN, MD
Title: PHYSICIAN
Phone: (316) 262-7662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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