Individual
DR. RAGHUNANDAN S LOGANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FCCP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-5864
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-5864
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA10658800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02554534
—
NY
Enumeration date
12/18/2006
Last updated
07/25/2024
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