Individual
DR. RAJIV SRINIVAS RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT215410
PA
208800000X
Urology Physician
Primary
MD481395
PA
Other
Enumeration date
06/12/2018
Last updated
07/19/2023
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