Dasari, Raghuram

Dasari, Raghuram is an individual health care provider with primary practice located at 85 E Us Highway 6 Ste 300 , Valparaiso IN 46383-8948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Dasari, Raghuram can be contacted via phone (219) 983-6300.

Contact Information

Primary practice address
85 E Us Highway 6 Ste 300 Valparaiso IN 46383-8948
Phone: (219) 983-6300
Fax: (219) 983-6080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 01060158A Indiana

Profile Details

NPI number 1417939885
LBN Legal business name Dasari, Raghuram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Sep 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417939885 NPPES
Other 000000496942 BLUE CROSS BLUE SHIELD IN
Other P00369368 BLUE CROSS BLUE SHIELD IN
Other 90000561 BLUE CROSS BLUE SHIELD IN
MEDICAID 200506520 BLUE CROSS BLUE SHIELD IN

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