Individual
RAGHURAM POSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9335
Mailing address
1245 PARK AVE APT 9F, NEW YORK, NY 10128-1738
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
295377
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
295377
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
05/21/2023
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