Kanthi Raju, D.O., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K1905 Issued in TX

Legal business name

KANTHI RAJU, D.O., P.A.

Practice address

275 W Campbell Rd
Suite 430
Richardson, TX 75080-3601

Phone

(972) 918-0170

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kanthi P. RajuNPI 1124039144

Title

D.O.

Phone

(972) 918-0170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Kanthi Raju, DO

  • Psychiatry Physician
  • Richardson, TX
  • NPI 1124039144
  Medicare reassignment NPD Authorized official
• Gina Lyn Lane Aalund, LCSW, PLLC

  • Clinical Social Worker
  • Richardson, TX
  • NPI 1235502972
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1114186947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1171",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750011171",
            "telephone_number": "972-991-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W CAMPBELL RD",
            "address_2": "SUITE 430",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803601",
            "telephone_number": "972-918-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANTHI RAJU, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "KANTHI",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "972-918-0170",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kang
• Pascalina Ngendo Kangethe
• Karen Sue Kaniper
• Kansal Eye, PLLC
• Rishav Kansal, MD
• Chibuogwu Lilian Kanu
• Fatema Kapadia
• Nishit Kapadia, DDS
• Prachi Kapadia, D.D.S.
• Navya Kapoor

• Psychiatry Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.