Individual
DR. RAGHAVENDER BOOTHPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 PLUMAS CT, STE C, YUBA CITY, CA 95991-2971
(530) 822-5575
(530) 822-5585
Mailing address
1525 PLUMAS CT, STE C, YUBA CITY, CA 95991-2971
(530) 822-5575
(530) 822-5585
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A117765
CA
208M00000X
Hospitalist Physician
A117765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
01/11/2007
Last updated
10/28/2021
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