Adolescent & Adult Allergy Center, P.a.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

ADOLESCENT & ADULT ALLERGY CENTER, P.A.

Practice address

2400 E 8TH St
Odessa, TX 79761-4902

Phone

(432) 332-5533

Fax

(432) 580-5533

NPI assigned

Oct 18, 2006

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. P.K. Raghu, M.D.

Title

Physcian / Owner

Phone

(432) 332-5533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Puthalath Koroth Raghuprasad, M.D.

  • Allergy Physician
  • Odessa, TX
  • NPI 1073570032
  Medicare reassignment

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1720169311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614902",
            "telephone_number": "432-332-5533",
            "fax_number": "432-580-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614902",
            "telephone_number": "432-332-5533",
            "fax_number": "432-580-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT & ADULT ALLERGY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "RAGHU",
        "authorized_official_first_name": "P.K.",
        "authorized_official_title_or_position": "PHYSCIAN / OWNER",
        "authorized_official_telephone_number": "432-332-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abidemi Yemisi Adeniran, FNP
• Tolani Adewole, MD
• Sarita Adhikary
• Jennifer D Adkins, AGAC-NP
• Mahwish Adnan, MD
• Reshmi Adupa, MD
• Advanced Fertility Centers,LLC
• Advanced Neuroscience Clinic, PA (Advanced Sleep Center)
• Advanced Odessa Hospital & Clinics LLC
• Benjamin Luis Aguilar, FNP

• Allergy & Immunology Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.