Sharadha Raghavan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A47856 Issued in CA

Practice address

841 Blossom Hill Rd
#207
San Jose, CA 95123

Phone

(408) 629-3997

Fax

(408) 629-3580

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 19, 2016 through Jan 19, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Duke D. Fisher, MD Inc

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1487759205
  NPD (past)
• Thinh Duy Mai M.D., a.P.C.

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1770905945
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720110539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 BLOSSOM HILL RD",
            "address_2": "#207",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95123",
            "telephone_number": "408-629-3997",
            "fax_number": "408-629-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 BLOSSOM HILL RD",
            "address_2": "#207",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95123",
            "telephone_number": "408-629-3997",
            "fax_number": "408-629-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHAVAN",
        "first_name": "SHARADHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A47856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Reza Rafii, D.C
• May M Raft
• Hana Raftery
• Bina P Raghavan, PA-C
• Kesav Raghavan, MD
• Raghunand C. Sastry, M.D., P.C.
• Shravya Raghunand
• Sangeetha Raghuraman, MD
• Marc Rivera Ragsac
• Crystal Marie Ragsdale, RN, IBCLC

• Psychiatry Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.