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Individual

RAGHAV GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
836 PRUDENTIAL DR STE 1700, JACKSONVILLE, FL 32207-8344
(904) 398-0125
(904) 398-1832
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 720-0599
(904) 376-4036

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME158258
FL
207RI0011X
Interventional Cardiology Physician
25029
OK
207RI0011X
Interventional Cardiology Physician
Primary
ME158258
FL

Other

Enumeration date
02/07/2007
Last updated
12/22/2022
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