Individual
DR. RAGHAVA R. GOLLAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 BERGER AVE, SUITE 200, SAN DIEGO, CA 92123-4233
(858) 244-6865
(858) 244-6892
Mailing address
3131 BERGER AVE, SUITE 200, SAN DIEGO, CA 92123-4233
(858) 244-6865
(858) 244-6892
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A73392
CA
207RI0011X
Interventional Cardiology Physician
Primary
A73392
CA
2085R0204X
Vascular & Interventional Radiology Physician
A73392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A733920
—
CA
Enumeration date
03/01/2006
Last updated
12/29/2014
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