Individual
DR. RAGHU GUDAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 ESSEX RD, TINTON FALLS, NJ 07753
(732) 643-2070
(732) 643-2015
Mailing address
5525 RESEARCH PARK DR FL 4, BALTIMORE, MD 21228-4873
(732) 643-2070
(732) 643-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05811900
NJ
Other
Enumeration date
08/07/2006
Last updated
07/18/2019
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