Raghu, Grandhige V.

Raghu, Grandhige V. is an sole proprietor health care provider with primary practice located at 1021 N Houston Rd , Warner Robins GA 31093-1505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Raghu, Grandhige V. can be contacted via phone (478) 922-9944.

Contact Information

Primary practice address
1021 N Houston Rd Warner Robins GA 31093-1505
Fax: (478) 922-3255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 016963 Georgia

Profile Details

NPI number 1235154170
LBN Legal business name Raghu, Grandhige V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Jul 21st, 2008 - about 18 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 1235154170 NPPES
Georgia MEDICAID 000013164A

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