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Individual
RAGHURAM PRASAD
Active
Individual
RAGHURAM PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036-116935
IL
2084P0800X
Psychiatry Physician
2007015932
MO
2084P0804X
Child & Adolescent Psychiatry Physician
2007015932
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD443889
PA
Other
Enumeration date
06/05/2007
Last updated
01/09/2017
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