| Doctor Name: | DR. RAGHAVA A BHASKARAN |
| NPI Number: | 1669693768 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 025580 |
| Business Practice Address: | 606 Academy Ave Dublin, GA - 310215253 |
| Business Phone Number: | 4782741100 |
| Business Fax Number: | 4782741166 |
| Mailing Address: | Po Box 1527, DUBLIN |
| State: | GA |
| Postal Code: | 310401527 |
| Phone Number: | 4782741100 |
| Fax Number: | 4782741166 |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 07/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 025580 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |