Individual
RAGHU B BOPPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 PELHAM ROAD, GREENVILLE, SC 29615
(864) 234-5800
Mailing address
34 WILD EVE WAY, GREER, SC 29650-3696
(864) 382-9496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33006
SC
208000000X
Pediatrics Physician
33006
SC
Other
Enumeration date
04/13/2007
Last updated
08/13/2013
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