Individual
DR. RAJU B RAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9525 CLIFFDALE ROAD, FAYETTEVILLE, NC 28304-5956
(910) 826-7828
(910) 864-7925
Mailing address
PO BOX 87707, FAYETTEVILLE, NC 28304-5956
(910) 826-7828
(910) 864-7925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9700722
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027AU
BCBS
NC
01
—
1110G
BCBS GROUP # 015CK
NC
05
—
5903128
—
NC
Enumeration date
08/10/2005
Last updated
02/04/2021
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