D P Raju MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0034166 Issued in FL

Legal business name

D P RAJU MD PA

Practice address

2840 S.E. 3 Court
Ocala, FL 34471

Phone

(352) 622-1777

NPI assigned

Mar 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dantuluri P Raju, M.D.NPI 1053316133

Title

President

Phone

(352) 622-1777

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Dantuluri P Raju, M.D.

  • Adult Medicine Physician
  • Ocala, FL
  • NPI 1053316133
  Authorized official Same address or phone
• Kelli Marie Laconte, APRN

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1881581122
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1922321389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 S.E. 3 COURT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-622-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 S.E. 3 COURT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-622-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D P RAJU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "DANTULURI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-622-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0034166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "42139",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrea Sandra Cziffer Paul, M.D.
• Kendra I Czigany, RDMS, RVT
• D Marion Transport LLC
• Margaret K D'Alonzo
• Philip Charles D'Angelo, MD
• Mohamed SH Dackrory
• Kevin Scott Dagenais, DDS
• Alberto Nuez Dahiroc, RPT

• Family Medicine Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.