Narasimharaju L Bhupathiraju, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

NR037041 Issued in MI

Practice address

577 Inkster Rd
Garden City, MI 48135-4117

Phone

(734) 458-2111

Fax

(734) 458-1955

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. B L Raju Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790856326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354117",
            "telephone_number": "734-458-2111",
            "fax_number": "734-458-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354117",
            "telephone_number": "734-458-2111",
            "fax_number": "734-458-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUPATHIRAJU",
        "first_name": "NARASIMHARAJU",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "NR037041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1094781",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B",
            "last_name": "RAJU",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ali E Beydoun, MD
• Gihan Yaafar Beydoun
• Rania Beydoun, PA
• Mehdi Bezih, PHARMD, RPH
• Vaasu Bhardwaj, M.D.
• Lauren Black
• Amanda Christine Blair, D.O.
• Shyla Blanding
• Belal Bleibel
• Blossom Adult Day Center LLC

• Pediatric Adolescent Medicine Physician in Garden City, MI
• Providers in Garden City, MI by specialty
• Pediatric Adolescent Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.