Individual
DR. RAGHU JUVVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5362 SPRING HILL DR, SPRING HILL, FL 34606-4562
(352) 398-4573
(352) 398-4591
Mailing address
14690 SPRING HILL DR, STE 101 ATTN:CREDENTIALING, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD429484
PA
207RN0300X
Nephrology Physician
Primary
ME101869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001141000
—
FL
01
—
145FQ
BCBS OF FL
FL
01
—
P01046791
RAILROAD MEDICARE ATTACHED TO GRP# DR6927
FL
Enumeration date
08/16/2007
Last updated
01/31/2017
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