Individual
RAGHAVENDRA MULINTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 347-1315
Mailing address
3200 MACCORKLE AVE SE, STE B16, CHARLESTON, WV 25304-1227
(304) 347-1315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25251
WV
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25251
WV
208M00000X
Hospitalist Physician
Primary
25251
WV
Other
Enumeration date
08/06/2009
Last updated
07/09/2025
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