Organization Active NPI

Balaji Raghu Inc

  • Internal Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1366715369
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Feb 22, 2012

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.