Individual
CHENGALROYAN RAGHUNATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16660 PARAMOUNT BLVD STE 202, PARAMOUNT, CA 90723-5457
(562) 663-9191
(562) 663-9111
Mailing address
16660 PARAMOUNT BLVD STE 202, PARAMOUNT, CA 90723-5457
(562) 663-9191
(562) 663-9111
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A303390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A303390
—
CA
01
—
953548420
TAX ID
CA
Enumeration date
01/08/2007
Last updated
10/27/2015
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