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
Fax: (813) 514-8891
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104812999 NPPES
Florida MEDICAID 015454700
Florida Other IH298Y

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