Individual provider Active NPI

Radha V Raghupathy, M.D

  • Hematology & Oncology Physician
  • Larchmont, NY
National Provider Identifier
1356509491
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
P57738 Issued in NY
Practice address
804 Rockland Ave
Larchmont, NY 10538-1413
Phone
(781) 254-4499
NPI assigned
May 27, 2008
Last updated
May 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X P57738 NY Primary

Addresses

Primary practice location

804 Rockland Ave
Larchmont, NY 10538-1413

Mailing address

804 Rockland Ave
Larchmont, NY 10538-1413
Phone (781) 254-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
003540NYMDOptician
P57738NYMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1356509491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ROCKLAND AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381413",
            "telephone_number": "781-254-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 ROCKLAND AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381413",
            "telephone_number": "781-254-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHUPATHY",
        "first_name": "RADHA",
        "middle_name": "V",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "P57738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.