Individual
RAGHU N LOLABHATTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 CENTRAL DR, EAST DUBLIN, GA 31027-7412
(478) 488-3057
Mailing address
PO BOX 845, DUBLIN, GA 31040-0845
(478) 272-2599
(478) 272-6441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047617
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901183C
—
GA
Enumeration date
06/21/2005
Last updated
05/10/2024
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