Raghur, Srilatha

Raghur, Srilatha is an sole proprietor health care provider with primary practice located at 2616 Legends Way , Crestview Hills KY 41017-2418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Raghur, Srilatha can be contacted via phone (859) 331-3100.

Contact Information

Primary practice address
2616 Legends Way Crestview Hills KY 41017-2418
Phone: (859) 331-3100
Fax: (859) 331-9147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3908 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC763 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10003177A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2423 Kentucky

Profile Details

NPI number 1952876427
LBN Legal business name Raghur, Srilatha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2018
Last updated Jun 30th, 2021 - about 5 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 1952876427 NPPES
Mississippi MEDICAID 05033505
Mississippi Other 6197540

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