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Contact Information

NIMMAGADDA V RAGHAVAIAH, MD
6005 PARK AVE
#826B
MEMPHIS, TN38119
 Phone: 901-683-3848
 Fax: 901-683-4858
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for NIMMAGADDA V RAGHAVAIAH · (Male)

NPI # 1912918764
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 12/22/2008 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # MD0000010219
  • TN Medicaid 3196692
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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