Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 056305 | GA |
NPI | 1013924976 |
---|---|
Provider Name | Raghunath R Katragadda |
First Address | Atlanta, GA 30342-1606 |
Second Address | Cumming, GA 30041-7659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 02/12/2016 |