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Puthalath K Raghuprasad

  • Male

Medical Specialty

Professional ID

  • NPI: 1073570032
  • PECOS ID: 4284695735
  • Enrollment ID: I20041021000093
  • Credential(MD, DO, DPM): MD
  • Medical School:
  • Medical School Graduation Year: 1967

Medical Practices

  • Organization Name: Adolescent And Adult Allergy Center P A
  • Group Practice ID assigned by PECOS: 9133180441
  • Number of Group Practice member: 0

Location

  • Address1: 2400 E 8th St
  • Address2:
  • City: Odessa
  • State: Texas
  • Zip Code: 79761
  • Phone Number: (432)332-5533

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes