# RAGHU ATHRE, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992983878
- **Authorized official:** DR. RAGHU SUDARSHAN ATHRE MD (PRESIDENT)
- **Authorized official phone:** (281) 557-3223

## Contact information

- **Practice address:** 2414 ELLA BLVD, HOUSTON, TX 77008-2710
- **Practice address phone:** (281) 557-3223
- **Practice address fax:** (281) 557-0164
- **Mailing address:** 2414 ELLA BLVD, HOUSTON, TX 77008-2710
- **Mailing address phone:** (281) 557-3223
- **Mailing address fax:** (281) 557-0164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | M4701 | TX | — |
| 207YS0123X | Facial Plastic Surgery Physician | M4701 | TX | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | M4701 | TX | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 058678 | GA | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | M4701 | TX | — |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 04/10/2026