Organization
RAGHAVAN CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH V RAGHAVAN MD (PHYSICIAN)
(316) 262-7662
Entity
Organization
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 ST, SUITE 245, WICHITA, KS 67214-2944
(316) 262-7662
(316) 262-8320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-18927
KS
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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