Mina Raju DO Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

20A9970 Issued in CA

Legal business name

MINA RAJU DO INC

Practice address

5400 W Hillsdale Ave
Visalia, CA 93291-8222

Phone

(559) 302-7927

Fax

(559) 741-9938

NPI assigned

May 30, 2016

Organization subpart

No

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

Authorized official

Name

Mina Raju, M.D.NPI 1588600068

Title

Ceo

Phone

(559) 302-7927

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mina Raju, D.O.

  • Infectious Disease Physician
  • Visalia, CA
  • NPI 1588600068
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464566400000",
    "number": "1942658034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2744",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932792744",
            "telephone_number": "559-302-7927",
            "fax_number": "559-741-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W HILLSDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918222",
            "telephone_number": "559-302-7927",
            "fax_number": "559-741-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA RAJU DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-30",
        "last_updated": "2016-05-30",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-302-7927",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "20A9970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Ray Miller
• Christopher Dale Millis, LMFT
• Deborah McGee Millner, LICENSED MARRIAGE AN
• Scott T Mills
• Min-Shung Wu M.D.
• Michele Minasola, PT, DPT
• Sarah Zhanna Minasyan, M.D.
• Mineral King Pediatrics
• Mineral King Radiological Medical Group, Inc
• Mineral King Surgical Associates, Inc.

• Infectious Disease Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.