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Individual
MR. RAGHU CHOVVATH
Active
Individual
MR. RAGHU CHOVVATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006797
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383454355
EMPLOYER TAX ID
MI
01
—
383606482
INSPIRATIONS TAX ID
MI
01
—
650H257670
BCBS ID
MI
Enumeration date
10/20/2006
Last updated
01/31/2013
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