Organization Active NPI

Raghu P. Upender, MD, Neurohealth PC

  • Medical Specialty Clinic/Center
  • Tullahoma, TN
National Provider Identifier
1013102821
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
39248 Issued in TN
Legal business name
RAGHU P. UPENDER, MD, NEUROHEALTH PC
Practice address
1805 N Jackson St
Suite 7
Tullahoma, TN 37388-2290
Phone
(931) 461-5946
Fax
(931) 461-5948
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raghu Pishka Upender, MDNPI 1154303592
Title
President
Phone
(931) 461-5946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 39248 TN Primary

Addresses

Primary practice location

1805 N Jackson St
Suite 7
Tullahoma, TN 37388-2290

Mailing address

1805 N Jackson St
Suite 7
Tullahoma, TN 37388-2290
Phone (931) 461-5946

National Provider Directory

National Provider Directory

Locations

707 Kings Ln
Tullahoma, TN 37388
Phone (931) 393-3484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1013102821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N JACKSON ST",
            "address_2": "SUITE 7",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882290",
            "telephone_number": "931-461-5946",
            "fax_number": "931-461-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N JACKSON ST",
            "address_2": "SUITE 7",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882290",
            "telephone_number": "931-461-5946",
            "fax_number": "931-461-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHU P. UPENDER, MD, NEUROHEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "UPENDER",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_middle_name": "PISHKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-461-5946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "39248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.