Individual
DR. PARULA PRAKASH RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1035 N EMPORIA ST, SUITE 245, WICHITA, KS 67214-2944
(316) 262-7662
(316) 262-8320
Mailing address
1035 N EMPORIA, SUITE 245, WICHITA, KS 67214-2972
(316) 634-0482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-18926
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100207080A
—
KS
Enumeration date
08/15/2005
Last updated
08/29/2013
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