Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Puthalath Koroth Raghuprasad, MD

Individual provider Allergy Physician · NPI 1073570032

Dr. Puthalath Koroth Raghuprasad, MD is an Allergy/Immunology in Odessa, Texas. Qualified in 1967, 59 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
59
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2400 E 8th St
Odessa, TX 79761-4902
Phone: (432) 332-5533
Fax: (432) 580-5533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy Physician (primary) Taxonomy 207KA0200X · Licence F8987 (TX)

Record details

NPI number1073570032
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJuly 23, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount