Individual
DR. PRASHANT RAGHAVENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329-3117
(404) 785-1200
Mailing address
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329-3117
(404) 785-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL39373
SC
208000000X
Pediatrics Physician
LL39373
SC
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
95274
GA
Other
Enumeration date
06/09/2016
Last updated
04/08/2025
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