Individual
TALKAD S RAGHUVEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5354 MISSION WOODS RD, MISSION WOODS, KS 66205-2008
(913) 269-9415
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160-7816
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-29244
KS
2080N0001X
Neonatal-Perinatal Medicine Physician
04-29244
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100396960A
—
KS
05
—
205364706
—
MO
01
—
29297014
BCBS KANSAS CITY
MO
01
—
370018934
RR MEDICARE
—
01
—
411310
FIRSTGUARD
—
Enumeration date
08/30/2006
Last updated
05/18/2022
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