Sai Krishna Surapa Raju, M.D Valid NPI

Individual provider · Pediatric Critical Care Medicine Physician · Portland, ME

NPI

1710366893

Type

Individual (Type 1)

Primary specialty

Pediatric Critical Care Medicine Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0203X

License number

MD28644 (ME)

Sex

Male

Sole proprietor

Yes

Enumerated

2015-05-22

Last updated

2024-11-25