Raghavendra Akhil Bogabathina
Internal Medicine in Las Vegas, NV. Individual provider (NPI-1).
NPI number1114554334
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1114554334
- Entity type
- Individual (NPI-1)
- Name
- Raghavendra Akhil Bogabathina
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Jul 7, 2023
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 23870 | NV | Yes |
Practice location
2880 N Tenaya WayLas Vegas, NV 89128-0431
Phone 702-962-9540
Mailing address
2880 N Tenaya WayLas Vegas, NV 89128-0431
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