Dr. Raghuveer M. Kudva , MD
General Practice • Du Quoin, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Raghuveer Kudva has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Raghuveer Kudva, MD was a registered General Practice practicing in Du Quoin, IL. Throughout an active medical career spanning 12 years, Dr. Kudva provided care at the practice location at 960 SOUTH LAKE DRIVE until profile deactivation on 2022-09-16.
Practice Location & Contact Primary Location
960 South Lake Drive
Du Quoin, IL 628322448
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Du Quoin, IL
Practicing in Du Quoin, IL (355 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 16, 2022
NPI status registered as active in NPPES database
Registered at 960 SOUTH LAKE DRIVE, DU QUOIN, IL 628322448 (Tel: 6185424669)
Registered at 960 SOUTH LAKE DRIVE, DU QUOIN, IL 628322448 (Tel: 6185424669)
Recorded as RAGHUVEER KUDVA, M.D.
General Practice (License #036.046733 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
960 South Lake Drive
Du Quoin, IL 628322448
Phone: 6185424669
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