Individual
RAGHU RUDRARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(434) 447-3151
Mailing address
3401 NORTH BOULEVARD BRG MID CITY MEDICINE CLINIC, SUITE 130, BATON ROUGE, LA 70806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101277764
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2020
Last updated
06/28/2024
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