Active NPI
Balaji Raghu Inc
- Internal Medicine Physician
- Woodbridge, VA
National Provider Identifier
1366715369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BALAJI RAGHU INC
- Practice address
- 1936 Opitz Blvd
Suite a
Woodbridge, VA 22191-3360 - Phone
- (703) 494-1984
- Fax
- (703) 494-1985
- NPI assigned
- Feb 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Balaji Raghu, M.D
- Title
- President
- Phone
- (540) 760-5727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | VA | Primary |
Addresses
Primary practice location
1936 Opitz Blvd
Suite a
Woodbridge, VA 22191-3360
Mailing address
1001 Century Oak Dr
Fredericksburg, VA 22401-6212
Phone (540) 760-5727
Other names 1
- Balaji Raghu, MD
National Provider Directory
National Provider DirectoryLocations
292 Garrisonville Rd
#101
Stafford, VA 22554
Phone (540) 658-1110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329868800000",
"number": "1366715369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CENTURY OAK DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224016212",
"telephone_number": "540-760-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 OPITZ BLVD",
"address_2": "SUITE A",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913360",
"telephone_number": "703-494-1984",
"fax_number": "703-494-1985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALAJI RAGHU INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A",
"authorized_official_last_name": "RAGHU",
"authorized_official_first_name": "BALAJI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "540-760-5727",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Balaji Raghu, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.