Individual
CHAKRAVARTHY RAGHAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2111 SW 20TH PL, OCALA, FL 34471-7734
(407) 738-4200
(407) 705-2540
Mailing address
2111 SW 20TH PL, OCALA, FL 34471-7734
(407) 738-4200
(407) 705-2540
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME69260
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
ME69260
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100711000
—
FL
05
—
250067100
—
FL
01
—
ME69260
LICENSE
FL
Enumeration date
09/06/2006
Last updated
09/08/2023
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