Individual
DR. SURYA PRAKASH RAGUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
315 JOSE MARTI BLVD, BROWNSVILLE, TX 78526-2868
(956) 546-7530
(956) 546-7531
Mailing address
PO BOX 5386, BROWNSVILLE, TX 78523-5386
(956) 546-7530
(956) 546-7531
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L9857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L9857
TX LICENSE
TX
Enumeration date
01/31/2007
Last updated
03/01/2010
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