Individual
DR. RAGHU RAM CHIVUKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
265827
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
265827
MA
207RP1001X
Pulmonary Disease Physician
Primary
265827
MA
Other
Enumeration date
08/11/2011
Last updated
12/23/2019
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