SUMA NANDAKUMAR RAJU (NPI# 1336280130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336280130 |
| Entity Type | Individual |
| Full Name | SUMA NANDAKUMAR RAJU |
| Other Name | SUMA NANDAKUMAR |
| Credential | MD |
| Practice Address |
1901 Sw H K Dodgen Loop Bldg 300 Temple TX 76502-1814 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547245437 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | P3568 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
P3568 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528561446 | Suma Raju | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2018-03-16 |
| 1710177670 | Suma Raju | Internal Medicine | 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033-5310 | 2007-07-26 |
| Street Address |
1901 SW H K DODGEN LOOP BLDG 300 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952361669 | Jerry Hall | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2006-03-25 |
| 1477091585 | Jessica F Jester | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2017-02-09 |
| 1770035941 | Toni Sorensen | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2016-11-03 |
| 1790138378 | Brittany Eichhorn | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 | 2016-07-19 |
| 1427408624 | Leah Gail Mathias | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2016-06-18 |
| 1407269277 | Sherline David | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2014-06-09 |
| 1023435278 | Aishwarya Raju | Psychiatry & Neurology | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2014-03-26 |
| 1487096947 | Larissa Lashelle Williams | Physician Assistant | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2013-07-25 |
| 1396004115 | Vanessa Marie Munoz Rivera | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2012-05-14 |
| 1558646349 | Nicholas William Mcgregor | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2011-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013135243 | Ashis Vanmali Barad | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537550 | Wenly Ruan | Pediatrics | 6701 Fannin St # D1010.00, Houston, TX 77030-2608 | 2014-04-01 |
| 1336566611 | Savini Lanka Britto | Pediatrics | 6621 Fannin Steet, Mark Wallace Tower 1010.00, Houston, TX 77030 | 2014-03-25 |
| 1609122860 | Huyen Nguyen | Pediatrics | 2350 N Stemmons Fwy Ste 4500, Dallas, TX 75207-2700 | 2012-07-25 |
| 1871736504 | Vera Ajuma Okwu | Pediatrics | 225 E Sonterra Blvd Ste 213, San Antonio, TX 78258-3992 | 2009-04-10 |
| 1770749947 | Gi Care for Kids Pa | Pediatrics | 1810 Hale Ave, Suite 9, Harlingen, TX 78550-7541 | 2008-08-06 |
| 1306009436 | Robert Simek | Pediatrics | 3502 9th St Ste 320, Lubbock, TX 79415-3368 | 2008-07-09 |
| 1679771117 | Lillienne Yoon Chan | Pediatrics | 7777 Forest Ln Ste B304, Dallas, TX 75230-6818 | 2007-07-05 |
| 1578639340 | Nelson Jesus Spinetti | Pediatrics | 2707 Cornerstone Blvd, Edinburg, TX 78539-8464 | 2006-11-25 |
| 1598845836 | Bryan S. Vartabedian | Pediatrics | 17580 Interstate 45 South, The Woodlands, TX 77384 | 2006-10-17 |
| 1831109909 | Ben Joseph Elizondo | Pediatrics | 109 Gallery Circle, Suite 127, San Antonio, TX 78258 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.