Raj Dedhia, MD

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

RAJ DEDHIA, MD

Practice address

909 Hyde St Ste 602
San Francisco, CA 94109-4847

Phone

(415) 562-4670

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 2024By 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

Raj Dedhia, MDNPI 1457767451

Title

Ceo, Physician

Phone

(415) 562-4670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raj Dedhia

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Francisco, CA
  • NPI 1457767451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1265295075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 602",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094847",
            "telephone_number": "415-562-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 602",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094847",
            "telephone_number": "415-562-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ DEDHIA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "DEDHIA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "CEO, PHYSICIAN",
        "authorized_official_telephone_number": "415-562-4670",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Raisbeck
• Sanjay J Raisoni, MD
• Tenaya J Raives
• Priyanka Pravin Raiyani, BDS, MDS, MSD
• Akshay Raizada, M.D., MPH
• Usha Rajagopal
• Shruthi Rajalakshmi
• Radhika Rajan, MD
• Alekya Rajanala, MD
• Yogalakshmi Rajendran, BDS, MS

• Otolaryngology/Facial Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.