Individual
KARTHIK RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5700 W OLIVE AVE STE 106, GLENDALE, AZ 85302-3147
(623) 377-7011
(623) 344-8353
Mailing address
2320 N 3RD ST, PHOENIX, AZ 85004-1303
(602) 258-9900
(602) 258-9904
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
49344
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
972039
—
AZ
Enumeration date
05/12/2008
Last updated
06/21/2021
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