Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1811518400 |
---|---|
Provider Name | Dr. Arvind Raghunath |
First Address | Henderson, NV 89014-2069 |
Second Address | Henderson, NV 89014-2069 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2020 |
Last Update Date | 05/05/2020 |