Individual
KADE N RAGHUPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1527 W 19TH ST, ASHTABULA, OH 44004-3033
(440) 964-8387
(440) 964-2742
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 964-8387
(440) 964-2742
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35100207R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280520
—
OH
Enumeration date
09/16/2006
Last updated
09/16/2011
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