Individual
DR. RAGHAVENDRA V GHUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3187 PALUXY DR, TYLER, TX 75701-8303
(903) 787-7533
(903) 787-8825
Mailing address
PO BOX 8270, TYLER, TX 75711-8270
(903) 787-7533
(903) 787-8825
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
K0769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031565702
—
TX
Enumeration date
02/13/2006
Last updated
02/08/2021
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