Provider Demographics
NPI:1346728565
Name:RATAKONDA, RAGHU BABU (MD)
Entity Type:Individual
Prefix:
First Name:RAGHU
Middle Name:BABU
Last Name:RATAKONDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6-2-128/1
Mailing Address - Street 2:JAMMIBANDA BAZAR
Mailing Address - City:KHAMMAM
Mailing Address - State:TELANGANA
Mailing Address - Zip Code:507002
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6-2-128/1
Practice Address - Street 2:JAMMIBANDA BAZAR
Practice Address - City:KHAMMAM
Practice Address - State:TELANGANA
Practice Address - Zip Code:507002
Practice Address - Country:IN
Practice Address - Phone:944-120-1652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-31
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program