Ghuge, Raghavendra V
Ghuge, Raghavendra V is an individual health care provider with primary practice located at 3187 Paluxy Dr , Tyler TX 75701-8303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Ghuge, Raghavendra V can be contacted via phone (903) 787-7533.Contact Information
Primary practice address
3187 Paluxy Dr
Tyler TX 75701-8303
Phone: (903) 787-7533
Fax: (903) 787-8825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | K0769 | Texas |
Profile Details
| NPI number | 1891768461 |
|---|---|
| LBN Legal business name | Ghuge, Raghavendra V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Feb 8th, 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 | 1891768461 | NPPES |
| Texas | MEDICAID | 031565702 |
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