Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 41837 | AZ |
N | 207X00000X | Orthopaedic Surgeon | MT184981 | PA |
Y | 207X00000X | Orthopaedic Surgeon | R0646 | TX |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | C7-0003655 | DE |
N | 208200000X | Surgeon | 35-095639 | OH |
N | 208600000X | Surgeon | 35-095639 | OH |
NPI | 1043415250 |
---|---|
Provider Name | Venkat Raghav Rapuri |
First Address | Arlington, TX 76012-2579 |
Second Address | Arlington, TX 76012-2579 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 01/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
434488 | (05) | AZ |
C7-0003655 | MEDICAL LICENSE NUMBER (01) | DE |
MT184981 | MEDICAL LICENSE NUMBER (01) | PA |