Individual
RAGHU NANDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S./MD
Contact information
Practice address
1229 E SEMINOLE ST STE 330, SPRINGFIELD, MO 65804-2227
(417) 820-9330
Mailing address
1229 E SEMINOLE ST STE 330, SPRINGFIELD, MO 65804-2227
(417) 820-9330
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2018032438
MO
208600000X
Surgery Physician
R72827
AZ
Other
Enumeration date
07/12/2011
Last updated
12/07/2022
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