Gollapudi, Raghava R.

Gollapudi, Raghava R. is an individual health care provider with primary practice located at 3131 Berger Ave Suite 200, San Diego CA 92123-4233. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Gollapudi, Raghava R. can be contacted via phone (858) 244-6865.

Contact Information

Primary practice address
3131 Berger Ave Suite 200 San Diego CA 92123-4233
Phone: (858) 244-6865
Fax: (858) 244-6892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A73392 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A73392 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A73392 California

Profile Details

NPI number 1467429191
LBN Legal business name Gollapudi, Raghava R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Dec 29th, 2014 - about 10 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 1467429191 NPPES
California MEDICAID 00A733920

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