Individual
DR. RAGHAVENDER GOTUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10000 FALLS OF NEUSE RD, RALEIGH, NC 27614-7838
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01068909A
IN
207R00000X
Internal Medicine Physician
Primary
2015-02304
NC
208M00000X
Hospitalist Physician
01068909A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000720529
ANTHEM
IN
05
—
1437394418
—
NC
05
—
201026010Q
—
IN
Enumeration date
12/04/2008
Last updated
11/01/2021
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