NPIMap

Organization Active NPI

Southern Radiology Services

Doing business as Raghava A. Bhaskaran, M.D.

  • General Practice Physician
  • Dublin, GA
National Provider Identifier
1235224346
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
025580 Issued in GA
Legal business name
SOUTHERN RADIOLOGY SERVICES
Doing business as
Raghava A. Bhaskaran, M.D.
Practice address
606 Academy Avenue
Dublin, GA 31021
Phone
(478) 274-1100
Fax
(478) 274-1166
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ragahava A Bhaskaran, M.D.
Title
Physician
Phone
(478) 274-1100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X 025580 GA
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 025580 GA
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X 025580 GA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 025580 GA Primary

Addresses

Primary practice location

606 Academy Avenue
Dublin, GA 31021

Mailing address

P. O. Box 1527
Dublin, GA 31040
Phone (478) 274-1100

Other identifiers 2

IdentifierTypeStateIssuer
000321417EMedicaidGA
297149OtherGAWELLCARE

Other names 1

  • Raghava A. Bhaskaran, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

606 Academy Ave
Dublin, GA 31021
Phone (478) 274-1100

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1235224346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 1527",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31040",
            "telephone_number": "478-274-1100",
            "fax_number": "478-274-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 ACADEMY AVENUE",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-274-1100",
            "fax_number": "478-274-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN RADIOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BHASKARAN",
        "authorized_official_first_name": "RAGAHAVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "478-274-1100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "GA",
            "license": "025580",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "025580",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "GA",
            "license": "025580",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "025580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000321417E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "297149",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raghava A. Bhaskaran, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.