person
Raghu Kanumuri, MD
Emergency Medicine Physician in Maryville, Illinois
NPI 1700869112

Raghu Kanumuri is a Emergency Medicine Physician based in Saint Louis, IL. Raghu Kanumuri practices in Maryville, IL and has the professional credentials of MD. The NPI Number for Raghu Kanumuri is 1700869112 and holds a License No. 036101187 (Illinois).

The current practice location address for Raghu Kanumuri is 6800 State Route 162, Maryville, IL and can be reached out via phone at 800-968-6866.

Location: 6800 State Route 162, Maryville, IL, 63166-6971
person
Provider Profile Details
NPI Number
1700869112
Provider Name
Raghu Kanumuri
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6800 State Route 162, Maryville, IL, 63166-6971
Phone Number
800-968-6866
Fax Number
Provider Enumeration Date
11/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036101187 05 IL
209158815 05 MO
036101187-9 05 IL
institution
Provider Business Practice Location Address Details
Address
6800 State Route 162
City
State
Zip
62062-8500
Phone Number
800-968-6866
Fax Number
person
Provider Business Mailing Address Details
Address
6800 State Route 162
City
State
Zip
62062-8500
Phone Number
800-968-6866
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
036-101187 (Illinois)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036101187 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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