Raghu Sudarshan Athre, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

M4701 Issued in TX

Practice address

2414 Ella Blvd
Houston, TX 77008-2710

Phone

(281) 557-3223

Fax

(281) 557-0164

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1730265612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082710",
            "telephone_number": "281-557-3223",
            "fax_number": "281-557-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 ELLA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082710",
            "telephone_number": "281-557-3223",
            "fax_number": "281-557-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHRE",
        "first_name": "RAGHU",
        "middle_name": "SUDARSHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "M4701",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "M4701",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "M4701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Athern, PHARMD
• Sangeetha Athis Rajh, M.D.
• Athlete Stop Associates
• Athletic Orthopedic & Knee Center
• Heather Athon, DMD
• Khannan Athreya
• Andrew Nagy Atia, M.D.
• Jo Ann Atilano, LMT
• Atilla Ertan MD PA
• Sharon Matendechere Atito, PHARMD

• Facial Plastic Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.