NPIMap

Organization Active NPI

Senthil Raju, MD PLLC

  • Family Medicine Physician
  • Moore, OK
National Provider Identifier
1851676357
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26716 Issued in OK
Legal business name
SENTHIL RAJU, MD PLLC
Practice address
700 S. Telephone Road
Moore, OK 73160
Phone
(405) 682-8383
Fax
(405) 682-8044
NPI assigned
Oct 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Senthil Raju, M.D.
Title
Owner
Phone
(405) 513-4591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 26716 OK Primary

Addresses

Primary practice location

700 S. Telephone Road
Moore, OK 73160

Mailing address

4101 N.E. 119TH Street
Oklahoma City, OK 73101
Phone (405) 682-8383

Other identifiers 1

IdentifierTypeStateIssuer
207Q00000XOtherOKTAXONOMY

National Provider Directory

National Provider Directory

Locations

Dept 960434
Oklahoma City, OK 73196

NPI Registry JSON

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1851676357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N.E. 119TH STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73101",
            "telephone_number": "405-682-8383",
            "fax_number": "405-682-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S. TELEPHONE ROAD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "73160",
            "telephone_number": "405-682-8383",
            "fax_number": "405-682-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTHIL RAJU, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "SENTHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-513-4591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "26716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207Q00000X",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.