Devabhaktuni, Raghu V

Devabhaktuni, Raghu V is an sole proprietor health care provider with primary practice located at 5102 W Campbell Ave , Phoenix AZ 85031-1703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Devabhaktuni, Raghu V can be contacted via phone (602) 344-5011.

Contact Information

Primary practice address
5102 W Campbell Ave Phoenix AZ 85031-1703
Phone: (602) 344-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0061245 Florida
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X ME 0061245 Florida
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 58835 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 58835 Arizona

Profile Details

NPI number 1174584601
LBN Legal business name Devabhaktuni, Raghu V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2006
Last updated May 14th, 2021 - 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 1174584601 NPPES
Arizona MEDICAID 591947
Arizona Other 260046846

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