Srinivasan, Raghuraman

Srinivasan, Raghuraman is an individual health care provider with primary practice located at 450A Tucker Dr , Maysville KY 41056-9110. 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 / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Srinivasan, Raghuraman can be contacted via phone (606) 759-0339.

Contact Information

Primary practice address
450A Tucker Dr Maysville KY 41056-9110
Fax: (606) 759-0139
Website:

Profile Details

NPI number 1720057862
LBN Legal business name Srinivasan, Raghuraman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 24th, 2013 - about 12 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 1720057862 NPPES
West Virginia MEDICAID 3810020951
West Virginia MEDICAID 64287089
West Virginia Other 9321441
West Virginia Other 6293
West Virginia MEDICAID 2144594

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