Individual
BALAJI RAGHU-OBLESHWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10051 5TH ST N STE 200, ST PETERSBURG, FL 33702-2211
(727) 824-0780
(813) 514-8891
Mailing address
10051 5TH ST N STE 200, ST PETERSBURG, FL 33702-2211
(727) 824-0780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME110870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015454700
—
FL
01
—
IH298Y
MEDICARE PIN
FL
Enumeration date
09/27/2005
Last updated
03/10/2020
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