Individual
RAGHAVENDRA AKHIL BOGABATHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2880 N TENAYA WAY, LAS VEGAS, NV 89128-0431
(702) 962-9540
Mailing address
2880 N TENAYA WAY, LAS VEGAS, NV 89128-0431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23870
NV
Other
Enumeration date
03/26/2020
Last updated
07/07/2023
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