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Dr. Puthalath Koroth Raghuprasad, MD
Allergy Physician in Odessa, Texas
NPI 1073570032

Puthalath Koroth Raghuprasad is an Allergy Physician based in Odessa, TX and is specialized in Allergy. Puthalath Koroth Raghuprasad practices in Odessa, TX and has the professional credentials of MD. The NPI Number for Puthalath Koroth Raghuprasad is 1073570032 and holds a License No. F8987 (Texas).

The current practice location address for Puthalath Koroth Raghuprasad is 2400 E 8Th St, Odessa, TX and can be reached out via phone at 432-332-5533 and via fax at 432-580-5533.

Location: 2400 E 8Th St, Odessa, TX, 79761-4902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073570032
Provider Name
Puthalath Koroth Raghuprasad
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2400 E 8Th St, Odessa, TX, 79761-4902
Phone Number
432-332-5533
Fax Number
432-580-5533
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0357949-01 05 TX
institution
Provider Business Practice Location Address Details
Address
2400 E 8Th St
City
Odessa
State
Texas
Zip
79761-4902
Phone Number
432-332-5533
Fax Number
432-580-5533
person
Provider Business Mailing Address Details
Address
2400 E 8Th St
City
Odessa
State
Texas
Zip
79761-4902
Phone Number
432-332-5533
Fax Number
432-580-5533
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
F8987 (Texas)
Definition
Definition to come...
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