Raghuram, Nandkishore B

Raghuram, Nandkishore B is an individual health care provider with primary practice located at 1600 Wallace Blvd 2Nd Floor, Picu, Amarillo TX 79106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Raghuram, Nandkishore B can be contacted via phone (806) 212-6965.

Contact Information

Primary practice address
1600 Wallace Blvd 2Nd Floor, Picu Amarillo TX 79106
Phone: (806) 212-6965
Fax: (806) 212-6278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X K6254 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 51588 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X K6254 Texas

Profile Details

NPI number 1841293164
LBN Legal business name Raghuram, Nandkishore B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Sep 29th, 2023 - about 3 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 1841293164 NPPES
Texas MEDICAID 177246904

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