Provider Demographics
NPI:1396708822
Name:GELOT, RAGHUVIR BAXIRAM (MD)
Entity type:Individual
Prefix:
First Name:RAGHUVIR
Middle Name:BAXIRAM
Last Name:GELOT
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 1:202 NC HIGHWAY 42 W
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-9743
Mailing Address - Country:US
Mailing Address - Phone:252-332-5917
Mailing Address - Fax:252-332-7721
Practice Address - Street 1:202 NC HIGHWAY 42 W
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-9743
Practice Address - Country:US
Practice Address - Phone:252-332-5917
Practice Address - Fax:252-332-7721
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20796174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist