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Individual

DR. RAGHU HOSAHALLI RAMAKRISHNAIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
E-6032
AR
2085R0202X
Diagnostic Radiology Physician
E-6032
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
440186401
AR
Enumeration date
08/27/2007
Last updated
07/27/2009
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