Raghu Idupuganti, DO Valid NPI

Individual provider · Anesthesiology Physician · Mineola, NY

NPI

1124051065

Type

Individual (Type 1)

Primary specialty

Anesthesiology Physician (Anesthesiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207L00000X

License number

238871 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-07

Last updated

2022-08-29