# DR. RAGHU CHANDRA GOWDA HANUMAIAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194916445
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301090168 | MI | — |
| 207R00000X | Internal Medicine Physician | 57006 | WI | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 07/07/2014
