Individual provider · Type 1 NPI

Raghu Kanumuri, MD

Emergency Medicine Physician · Maryville, IL

NPI number 1700869112 Active

Practice location

6800 State Route 162
Maryville, IL 62062-8500

Mailing address

PO Box 66971, Dept Le
St. Louis, MO 63166-6971

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X036101187 (IL)
Emergency Medicine Physician Primary 207P00000X036-101187 (IL)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1700869112

Raghu Kanumuri, MD's National Provider Identifier is 1700869112, issued on Nov 21, 2005. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Maryville, IL. The record was last updated on Aug 27, 2019.