Raghuprasad, Puthalath Koroth

Raghuprasad, Puthalath Koroth is an individual health care provider with primary practice located at 2400 E 8Th St , Odessa TX 79761-4902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Raghuprasad, Puthalath Koroth can be contacted via phone (432) 332-5533.

Contact Information

Primary practice address
2400 E 8Th St Odessa TX 79761-4902
Phone: (432) 332-5533
Fax: (432) 580-5533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X F8987 Texas

Profile Details

NPI number 1073570032
LBN Legal business name Raghuprasad, Puthalath Koroth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 23rd, 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 1073570032 NPPES
Texas MEDICAID 0357949-01

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