Individual
DR. RAGHURAM SAMPATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7100 W 20TH AVE STE 107, HIALEAH, FL 33016-1813
(305) 823-8510
(305) 823-8530
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2009014351
MO
207T00000X
Neurological Surgery Physician
MD461269
PA
207T00000X
Neurological Surgery Physician
MD60646514
WA
207T00000X
Neurological Surgery Physician
Primary
ME140331
FL
Other
Enumeration date
08/06/2009
Last updated
09/05/2019
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