Individual
PRASHANT RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, DEPARTMENT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
22 S GREENE ST, DEPARTMENT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
D76040
MD
2085R0202X
Diagnostic Radiology Physician
Primary
D76040
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017153386
—
DC
05
—
414942401
—
MD
Enumeration date
01/09/2007
Last updated
04/26/2019
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