Shanti Raju, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD444326 Issued in PA

Practice address

961 Front St
Uniondale, NY 11553-1646

Phone

(516) 481-2232

NPI assigned

Jun 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Nassau Medical P.C.

  • Internal Medicine Physician
  • Uniondale, NY
  • NPI 1881972511
  NPD (past)
• Rama B. Raju, MD

  • Internal Medicine Physician
  • Uniondale, NY
  • NPI 1396923918
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1821318320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 BERTHA DR",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 FRONT ST",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115531646",
            "telephone_number": "516-481-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "SHANTI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD444236",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD444326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Emergency Physicians PLLC
• Quality Life Home Health Inc.
• Quality Life Homecare Inc.
• Cathleen Raggio, M.D.
• Rama B Raju, MD
• Rama B. Raju, MD
• Michael Thomas Regina, DPT
• Elizabeth Regis, RN
• Linda Dianne Rennie, RN
• Melanie Reyes, M.S.,CCC-SLP

• Pain Medicine (Anesthesiology) Physician in Uniondale, NY
• Providers in Uniondale, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.