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Individual

RAGHU R TUREBYLU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
PO BOX 732973, DALLAS, TX 75373-1069

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
2006-00445
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
N8356
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143GV
BCBSNC
NC
05
5906317
NC
Enumeration date
07/17/2006
Last updated
09/20/2023
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