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Individual
VIJAYALAKSHMI RAGHU
Active
Individual
VIJAYALAKSHMI RAGHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2007-01163
NC
207Q00000X
Family Medicine Physician
Primary
N8561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340614YKY6
MEDICARE NUMBER
TX
01
—
N8561
MEDICAL LICENSE
TX
Enumeration date
08/16/2007
Last updated
01/04/2017
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