Individual
DR. RAGHU SUDARSHAN ATHRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2414 ELLA BLVD, HOUSTON, TX 77008-2710
(281) 557-3223
(281) 557-0164
Mailing address
2414 ELLA BLVD, HOUSTON, TX 77008-2710
(281) 557-3223
(281) 557-0164
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
M4701
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
M4701
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
058678
GA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
M4701
TX
Other
Enumeration date
10/31/2006
Last updated
04/10/2026
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