Individual
VIDYA RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5855 BREMO RD, SUITE 408, RICHMOND, VA 23226-1930
(804) 288-2673
(804) 285-5572
Mailing address
5855 BREMO RD, SUITE 408, RICHMOND, VA 23226-1930
(804) 288-2673
(804) 285-5572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101253367
VA
207R00000X
Internal Medicine Physician
240418
MA
207R00000X
Internal Medicine Physician
MD60901847
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0101253367
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
07/23/2009
Last updated
11/12/2024
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