SHRUTI MUKUND RAJA (NPI# 1548569791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548569791 |
| Entity Type | Individual |
| Full Name | SHRUTI MUKUND RAJA |
| Credential | MD |
| Practice Address |
40 Duke Medicine Cir Clinic 1l Durham NC 27710-4000 |
| Mailing Address |
Neuromuscular Clinic Dumc 3403 Durham NC 27710-0001 |
| Practice Telephone | 9196845422 |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2019-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
2015-01649 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
40 DUKE MEDICINE CIR CLINIC 1L |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858343 | John M Reynolds | Internal Medicine | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2005-08-11 |
| 1235757659 | Shelby Taylor Matthews | Audiologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-07-13 |
| 1437774155 | Rebecca Lynn Gregory | Dietitian, Registered | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-06-09 |
| 1427673276 | Wendy Wilson Bingham | Dietitian, Registered | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-06-08 |
| 1861014524 | Deborah Anne Zimmerman | Registered Nurse | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-05-15 |
| 1851913131 | Autumn Scales | Speech-Language Pathologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-05-10 |
| 1780204123 | Katherine Conrad | Audiologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-24 |
| 1639708696 | Jaeon Kwak | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-02 |
| 1386272458 | Joi Camille Spaulding | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-04-01 |
| 1255969887 | Connor Lewis Pratson | Student in an Organized Health Care Education/Training Program | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 2084N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neuromuscular Medicine |
| A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518068154 | Sandra Susan Torres | Psychiatry & Neurology | 1514 Doctors Cir, Wilmington, NC 28401-7404 | 2006-09-26 |
| 1003253857 | Erica Rene Wilt | Psychiatry & Neurology | 624 Quaker Ln Ste D201, High Point, NC 27262 | 2013-06-03 |
| 1427227701 | Coastal Neurology Pllc | Psychiatry & Neurology | 1514 Doctors Cir, Wilmington, NC 28401-7404 | 2008-02-21 |
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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.