Sri Sai Raj,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SRI SAI RAJ,LLC

Practice address

7600 Autumn Park Way
Mechanicsville, VA 23116-3868

Phone

(804) 730-0009

NPI assigned

Apr 30, 2020

Last updated

Apr 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Padmalatha Dharanikota, MD

Title

President

Phone

(687) 492-9804

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1235750316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31494",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232941494",
            "telephone_number": "804-282-9133",
            "fax_number": "804-282-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 AUTUMN PARK WAY",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163868",
            "telephone_number": "804-730-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI SAI RAJ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "DHARANIKOTA",
        "authorized_official_first_name": "PADMALATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "687-492-9804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA MEDICAL LICENSE",
            "identifier": "0101237077",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Spencer, LCSW
• Logan Rebekah Spiers, ATC
• Robert Ingram Sprague, MD
• Jessica Patrice Squiabro Pierce, DNP, APRN, FNP-C
• Jamie Lyn Squires
• April Carrington St. John, LMFT, LPC
• Renetta Marcellina St. Julian-Ball, SLP
• Michelle C St. Onge, PT
• Katelyn Paige St.Clair, PT, DPT, NCS, CBIS
• Alyssa Layne Stamey, CTRS

• Internal Medicine Physician in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.