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Individual
DR. PRASHANT RAGHAVENDRAN
Active
Individual
DR. PRASHANT RAGHAVENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL39373
SC
208000000X
Pediatrics Physician
LL39373
SC
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
95274
GA
Other
Enumeration date
06/09/2016
Last updated
04/08/2025
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