DR. RAGHU SUDARSHAN ATHRE MD NPI 1730265612

NPI Information

NPI: 1730265612
Provider Name: DR. RAGHU SUDARSHAN ATHRE, MD
Classification: Otolaryngology - 207YX0905X
Entity Type: Individual

Specialization: Otolaryngology/Facial Plastic Surgery

PECOS Registration: Yes

Address:
2121 SAGE RD
SUITE 245
HOUSTON, TX
ZIP 77056
Phone: (281) 557-3223
Get Directions

DR. Raghu Sudarshan Athre, MD is an otolaryngology/facial plastic surgery otolaryngology in Houston, TX. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Raghu Sudarshan Athre, MD NPI is 1730265612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2121 SAGE RD
SUITE 245
HOUSTON, TX
ZIP 77056-390
Phone: (281) 557-3223

The NPI 1730265612 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 9/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	M4701	TEXAS	No
2	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	058678	GEORGIA	No
3	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery	M4701	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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