Raghu-Obleshwar, Balaji
Raghu-Obleshwar, Balaji is an individual health care provider with primary practice located at 10051 5Th St N Ste 200 , St Petersburg FL 33702-2211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Raghu-Obleshwar, Balaji can be contacted via phone (727) 824-0780.Contact Information
Primary practice address
10051 5Th St N Ste 200
St Petersburg FL 33702-2211
Phone: (727) 824-0780
Fax: (813) 514-8891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME110870 | Florida |
Profile Details
| NPI number | 1104812999 |
|---|---|
| LBN Legal business name | Raghu-Obleshwar, Balaji |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Mar 10th, 2020 - about 6 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 | 1104812999 | NPPES |
| Florida | MEDICAID | 015454700 | |
| Florida | Other | IH298Y |
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