Individual
DR. RAGHU V DEVABHAKTUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
58835
AZ
2084P0800X
Psychiatry Physician
ME0061245
FL
2084P0805X
Geriatric Psychiatry Physician
58835
AZ
2084P0805X
Geriatric Psychiatry Physician
ME 0061245
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260046846
RAILROAD MEDICARE
—
05
—
591947
—
AZ
Enumeration date
04/02/2006
Last updated
05/14/2021
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