IndividualActive
Prachi Baliram Raut, M.B.B.S.
NPI 1104113653 · Clinical Pathology/Laboratory Medicine Physician · Madison, WI
Provider details
- NPI number
- 1104113653
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.B.B.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 58661 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
303 Eagle Hts
Madison, WI 53705-1767
Phone: (514) 920-7406
Approximate (ZIP-level) locationGet directions
Mailing address
303 Eagle Hts
Madison, WI 53705-1767
Registry dates
- Enumerated
- 2011-07-06
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.