Raghu V Devabhaktuni Mdpa

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME 61245 Issued in FL

Legal business name

RAGHU V DEVABHAKTUNI MDPA

Practice address

13908 Lakeshore Blvd
Suite 210
Hudson, FL 34667-1492

Phone

(727) 869-3227

NPI assigned

Oct 26, 2011

Last updated

Oct 26, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raghu V Devabhaktuni, MD

Title

MD

Phone

(727) 869-3227

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1750667416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13908 LAKESHORE BLVD",
            "address_2": "SUITE 210",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671492",
            "telephone_number": "727-869-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13908 LAKESHORE BLVD",
            "address_2": "SUITE 210",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671492",
            "telephone_number": "727-869-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHU V DEVABHAKTUNI MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "DEVABHAKTUNI",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "727-869-3227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME 61245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Hudson, FL
• Providers in Hudson, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.