Organization Active NPI

Raj Clinics Professional Services Corporation

  • Psychiatry Physician
  • Kokomo, IN
National Provider Identifier
1023173184
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RAJ CLINICS PROFESSIONAL SERVICES CORPORATION
Practice address
315 S Berkley Rd
Kokomo, IN 46901-5114
Phone
(574) 732-1166
Fax
(574) 753-4117
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Dr. Sitha Gita Kalapatapu, M.D., D.G.O.
Title
President
Phone
(574) 732-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

315 S Berkley Rd
Kokomo, IN 46901-5114

Mailing address

909 Lakeview Dr
Logansport, IN 46947-2208
Phone (574) 732-1166

National Provider Directory

National Provider Directory

Locations

315 S Berkley Rd
Kokomo, IN 46901
Phone (574) 732-1166

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1023173184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LAKEVIEW DR",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472208",
            "telephone_number": "574-732-1166",
            "fax_number": "574-753-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S BERKLEY RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015114",
            "telephone_number": "574-732-1166",
            "fax_number": "574-753-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ CLINICS PROFESSIONAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "KALAPATAPU",
        "authorized_official_first_name": "SITHA GITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-732-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.G.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.