Organization Active NPI

Raghava Rao Polavarapu,MDPC

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1679884613
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
RAGHAVA RAO POLAVARAPU,MDPC
Practice address
55 Greene Ave Ste 2C
Brooklyn, NY 11238-6432
Phone
(718) 230-0133
Fax
(718) 398-3104
NPI assigned
Jun 24, 2010
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Dr. Raghava Rao Polavarapu, M.D
Title
President
Phone
(718) 230-0133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

55 Greene Ave Ste 2C
Brooklyn, NY 11238-6432

Mailing address

55 Greene Ave Ste 2C
Brooklyn, NY 11238-6432
Phone (718) 230-0133

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1679884613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE STE 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386432",
            "telephone_number": "718-230-0133",
            "fax_number": "718-398-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE STE 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386432",
            "telephone_number": "718-230-0133",
            "fax_number": "718-398-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHAVA RAO POLAVARAPU,MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "POLAVARAPU",
        "authorized_official_first_name": "RAGHAVA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-230-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.