NPI 1790065464 · live from the CMS NPI Registry
Saikiran Raghavapuram, M.D.
Internal Medicine, Gastroenterology in Frisco, TX. National Provider Identifier 1790065464, active.
NPI record
| NPI | 1790065464 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 11330 Legacy Dr Ste 205, Frisco, TX 75033 |
| Practice phone | 469-535-5070 |
| Mailing address | 8267 Elmbrook Dr Ste 200, Dallas, TX 75247 |
| Enumerated | August 25, 2011 |
| Last updated | April 2, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 036142929 (IL) |
| Internal Medicine | 207R00000X | E-8427 (AR) |
| Internal Medicine, Gastroenterology | 207RG0100X | E-8427 (AR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine, Gastroenterology primary | 207RG0100X | T5005 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.