RAGHU IDUPUGANTI

MINEOLA, NY
NPI1124051065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NY  238871)
Enumeration Date2006-07-07
Last Update Date2022-08-29
Business Address
RAGHU IDUPUGANTI DO
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-2216
Mailing Address
RAGHU IDUPUGANTI DO
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 800-242-1131