Individual
RAGHAVA S VELAGALETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6800
(989) 583-6915
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6800
(989) 583-6915
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
204842
MA
207R00000X
Internal Medicine Physician
4301069949
MI
207RC0000X
Cardiovascular Disease Physician
204842
MA
207RI0011X
Interventional Cardiology Physician
Primary
204842
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0730385
BCBSM
MI
01
—
0990073
HEALTHPLUS
MI
01
—
102941
GREAT LAKES HEALTH PLAN
MI
01
—
110215141
RAILROAD MEDICARE
MI
01
—
381870664
TAX ID
MI
05
—
4239372
—
MI
01
—
42993
COMMUNITY CHOICE MICHIGAN
MI
01
—
700G360210
BCBSM
MI
01
—
RV069949
LICENSE
MA
Enumeration date
10/04/2006
Last updated
02/28/2022
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