Individual provider Active NPI

Alluri Raju, M.D.

  • General Practice Physician
  • Richland, GA
National Provider Identifier
1508917451
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022626 Issued in GA
Practice address
306 Alston St
Richland, GA 31825-1406
Phone
(229) 887-3351
Fax
(229) 887-2486
NPI assigned
Jan 16, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022626 GA Primary

Addresses

Primary practice location

306 Alston St
Richland, GA 31825-1406

Mailing address

306 Alston St
Richland, GA 31825-1406
Phone (229) 887-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100709000002 GA Practitioner - General PracticePractitioner - General Surgery 6709854573 Practice locations: Richland, GA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508917451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ALSTON ST",
            "city": "RICHLAND",
            "state": "GA",
            "postal_code": "318251406",
            "telephone_number": "229-887-3351",
            "fax_number": "229-887-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ALSTON ST",
            "city": "RICHLAND",
            "state": "GA",
            "postal_code": "318251406",
            "telephone_number": "229-887-3351",
            "fax_number": "229-887-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "ALLURI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "022626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, GA

Sources for this page

Verify at the official NPI Registry.