Individual
DR. NAGAVENI RAGOTHAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-8800
(419) 696-8819
Mailing address
2200 JEFFERSON AVE, TOLEDO, OH 43604-7101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35067496
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000322502
ANTHEM BCBS
OH
05
—
0116841
—
OH
Enumeration date
08/08/2006
Last updated
11/06/2015
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