Raju Pratap

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

107709 Issued in TX

Practice address

4619 Regal Shadow LN
Sugar Land, TX 77479-4585

Phone

(832) 938-2736

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resurge LLC

  • Audiologist
  • Cordova, TN
  • NPI 1699913939
  NPD (past) Authorized official
• Specialty Rehabilitation Group Inc

  • Speech-Language Pathologist
  • Cordova, TN
  • NPI 1841438736

  Audiologist

  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1184831976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 REGAL SHADOW LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794585",
            "telephone_number": "832-938-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 REGAL SHADOW LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794585",
            "telephone_number": "832-938-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATAP",
        "first_name": "RAJU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1506",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80482",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "TN1807",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pragnesh R Shah MD PA
• Anuradha Prakash
• Pranav Loyalka MD PA
• Abhishek Sukdeo Prasad, MD
• Nesha Nizar Prasla, DPM
• Patrick E Prath, MD
• Patrick James Prazak, DO
• Precision Cardiovascular Diagnostic
• Precision Internal Medicine PLLC
• Precision Physical Medicine and Rehabilitation PLLC

• Speech-Language Pathologist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.