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Individual

DR. RAGHU DHARMAVARAM KOTTAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
100 WELLNESS WAY, MILFORD, DE 19963-4364
(302) 393-5006
(302) 422-3074
Mailing address
967 SANDY HILL TRL, CAMDEN, DE 19934-4215
(205) 908-3501

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
C1-0009710
DE
207RG0100X
Gastroenterology Physician
Primary
C1-0009710
DE

Other

Enumeration date
04/18/2008
Last updated
03/29/2019
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