Prasanta Kumar Raj, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35041777 Issued in OH

Practice address

18099 Lorain Ave
Suite 200
Cleveland, OH 44111-5610

Phone

(216) 671-1140

Fax

(216) 671-2889

NPI assigned

Jul 5, 2006

Last updated

Nov 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1407887680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE",
            "address_2": "SUITE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115610",
            "telephone_number": "216-671-1140",
            "fax_number": "216-671-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE",
            "address_2": "SUITE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115610",
            "telephone_number": "216-671-1140",
            "fax_number": "216-671-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJ",
        "first_name": "PRASANTA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35041777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "0119204",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR IND MEDICARE #",
            "identifier": "P00610099",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1780634279",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "9273172",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RR MEDICARE",
            "identifier": "CA4511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000508239",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431465",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Rairdon, CTRS
• Jeffrey Lawrence Rais, OD
• Joham Rais
• Nouhad Raissouni, MD
• Kelly A Raj, D.O.
• Reshma Raj, MD
• Maidah Nasir Raja, MD
• Siva Raja, M.D., PH.D.
• Mohammad R Rajabi, MD, PHD
• Kyle Elizabeth Rajagopalan, MSN, ACNP-BC

• Surgery Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.