Individual
DR. PRACHI BALIRAM RAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
303 EAGLE HTS, MADISON, WI 53705-1767
(514) 920-7406
Mailing address
303 EAGLE HTS, MADISON, WI 53705-1767
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
58661
MN
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
75363
WI
Other
Enumeration date
07/06/2011
Last updated
09/27/2023
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