Individual
DR. RAGHAVA RAO POLAVARAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
26 SUNSET RD W, ALBERTSON, NY 11507-1115
(516) 621-0346
(718) 398-3104
Mailing address
26 SUNSET RD W, ALBERTSON, NY 11507-1115
(516) 621-0346
(718) 398-3104
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
126244
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00248435
—
NY
01
—
126244
LICENSE
NY
Enumeration date
11/03/2006
Last updated
07/08/2007
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