Dr. Kochuvila K. Raju, MD
Internal Medicine in Staten Island, NY. Individual provider (NPI-1).
NPI number1629037460
StatusActive
Last updated in NPPESMay 8, 2008
Details
- NPI
- 1629037460
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kochuvila K. Raju
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2006
- Last updated
- May 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 156969 | NY | Yes |
Practice location
375 Seguine AveStaten Island, NY 10309-3932
Phone 718-226-6902 · Fax 718-967-2165
Mailing address
1 Edgewater St6th Fl. Payer Relations
Staten Island, NY 10305-4900
Phone 718-226-1008 · Fax 718-226-1039
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