Individual provider · Type 1 NPI
Puthalath Koroth Raghuprasad, MD
Allergy Physician · Odessa, TX
NPI number
1073570032
Active
Practice location
2400 E 8th St
Odessa, TX 79761-4902
Fax (432) 580-5533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | F8987 (TX) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
Another provider at this address
About NPI 1073570032
Puthalath Koroth Raghuprasad, MD's National Provider Identifier is 1073570032, issued on Apr 26, 2006. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Odessa, TX. The record was last updated on Jul 23, 2008.