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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174584601 | NPPES |
Arizona | MEDICAID | 591947 | |
Arizona | Other | 260046846 |
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