Active NPI
Raj Chanderraj, M.D.
- Cardiovascular Disease Physician
- Las Vegas, NV
National Provider Identifier
1689680985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 3492
- Practice address
- 3150 N Tenaya Way
Suite 320
Las Vegas, NV 89128-0443 - Phone
- (702) 240-6482
- Fax
- (702) 804-0957
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 3492 | NV | Primary |
Addresses
Primary practice location
3150 N Tenaya Way
Suite 320
Las Vegas, NV 89128-0443
Mailing address
700 E Silverado Ranch Blvd
Suite 170
Las Vegas, NV 89183-7516
Phone (702) 240-6482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002002458 | Medicaid | NV |
Other names 1
- Pallam Raju Chanderraj
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- rchanderraj10451@direct.umcsn.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1689680985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E SILVERADO RANCH BLVD",
"address_2": "SUITE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891837516",
"telephone_number": "702-240-6482",
"fax_number": "702-804-0957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 N TENAYA WAY",
"address_2": "SUITE 320",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280443",
"telephone_number": "702-240-6482",
"fax_number": "702-804-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDERRAJ",
"first_name": "RAJ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NV",
"license": "3492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002002458",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PALLAM",
"last_name": "CHANDERRAJ",
"middle_name": "RAJU",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.