Individual
RAGHU R AMARAVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7150
Mailing address
1 LOEW CIR, MILTON, MA 02186-1043
(617) 543-1753
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
238883
MA
Other
Enumeration date
05/12/2009
Last updated
10/21/2014
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