P Raju Indukuri MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

H7433 Issued in TX

Legal business name

P RAJU INDUKURI MD PA

Practice address

2707 Airport Fwy
#206
Fort Worth, TX 76111-2389

Phone

(817) 222-9907

Fax

(817) 222-9909

NPI assigned

Dec 11, 2007

Last updated

Dec 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. P Raju Indukuri, M.D.NPI 1982611513

Title

PA

Phone

(817) 222-9907

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• P Raju Indukuri, M.D.

  • Psychiatry Physician
  • Hurst, TX
  • NPI 1982611513
  Authorized official Same address or phone
• Melissa Lynne Baker, MSN, APRN, PMHNP-BC

  • Psychiatry Physician
  • Hurst, TX
  • NPI 1811676869
  NPD
• Alexandra Craker Schoolfield

  • Family Nurse Practitioner
  • Hurst, TX
  • NPI 1093486987
  NPD
• Michelle Vasquez, APRN, CNP

  • Family Nurse Practitioner
  • Hurst, TX
  • NPI 1992386460
  NPD

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1932382165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 AIRPORT FWY",
            "address_2": "#206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112389",
            "telephone_number": "817-222-9907",
            "fax_number": "817-222-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 AIRPORT FWY",
            "address_2": "#206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112389",
            "telephone_number": "817-222-9907",
            "fax_number": "817-222-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P RAJU INDUKURI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "INDUKURI",
        "authorized_official_first_name": "P",
        "authorized_official_middle_name": "RAJU",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "817-222-9907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Ozanne, LCDC
• Mishael Ozed-Williams, PH.D.
• Zoe Elizabeth Ozment, PA-C
• Kathryn Ozowski, D.C.
• P & S Healthcare LP (DFW Nursing & Rehab)
• Paige Meridith Pabor
• Eugene H. Pace, M.D.
• Gina Lynn Pace
• Latiah Pace, RCP
• Holly Lynn Pacenta, M.D.

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.