RAGHU NANDAN


Address: 3650 South St, 212, Lakewood, CA 90712-1502
Phone: 5622727630

RAGHU NANDAN (NPI# 1861463606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861463606
Entity Type Individual
Full Name RAGHU NANDAN
Other Name RAGHU THIRUVENGADAM
Credential M.D
Practice Address 3650 South St
212
Lakewood
CA 90712-1502
Practice Telephone 5622727630
Practice Fax Number 5622727631
Mailing Telephone 5622727630
Mailing Fax Number 5622727631
Enumeration Date 2006-01-30
Last Update Date 2020-03-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
A51197 CA Allopathic & Osteopathic Physicians

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NPI Name Taxonomy Address Enumeration
1568750552 Raghu Nandan Plastic Surgery 1229 E Seminole St Ste 330, Springfield, MO 65804-2227 2011-07-12

Office Location

Street Address 3650 SOUTH ST
212
City LAKEWOOD
State CA
Zip Code 90712-1502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316940828 Good Life Medical Group, Inc. Pediatrics 3650 South St, Ste 204, Lakewood, CA 90712-1521 2005-05-31
1295188282 Nancy Perley Nurse Practitioner 3650 South St, Suite 208, Lakewood, CA 90712-1502 2016-07-14
1659773349 Pacific Heart and Lung Surgeons Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 3650 South St, Ste 206, Lakewood, CA 90712-1502 2014-09-24
1710262571 Jamal Hussain Md Inc Clinic/Center 3650 South St, Ste 105, Lakewood, CA 90712-1502 2011-10-12
1649584285 Michael J Perley Md Inc Internal Medicine 3650 South St, Suite 208, Lakewood, CA 90712-1502 2010-08-05
1366631962 Navrose S Grewal Surgery 3650 South St, Suite 206, Lakewood, CA 90712-1502 2007-10-18
1306039300 Shyam Dahiya Md Inc Surgery 3650 South St, Suite 412, Lakewood, CA 90712-1502 2007-08-22
1093913147 Milan Gaurang Rawal Internal Medicine 3650 South St, Suite 310, Lakewood, CA 90712-1502 2007-07-10
1770604407 Lakewood Internal Medical Group Clinic/Center 3650 South St, Suite 110, Lakewood, CA 90712-1502 2007-04-02
1558481291 Arthur Franklin Gelb Internal Medicine 3650 South St, Suite 308, Lakewood, CA 90712-1502 2007-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689289944 Createwellness LLC Social Worker 5250 Hayter Avenue, Lakewood, CA 90712 2020-09-14
1801451398 Marilou Toquero Dental Corp Durable Medical Equipment & Medical Supplies 3203 Carson St Suite 2, Lakewood, CA 90712 2019-05-09
1225510126 N Ozder Dental Practice Inc Clinic/Center 5037 Lakewood Blvd, Lakewood, CA 90712 2018-09-06
1003394446 Robert Michael Schlesinger Counselor 5150 Candlewood St Ste 13a, Lakewood, CA 90712 2018-07-28
1316439847 P.r.i.s.m. Institute Inc. Chiropractor 5233 Premiere Ave, Lakewood, CA 90712 2018-05-31
1316477938 Broadleaf Healthcare Orthotist 4345 Levelside Ave, Lakewood, CA 90712 2017-06-15
1679008049 Adrienne Yoshiko Doi Podiatrist 3700 East South Street, Lakewood, CA 90712 2017-04-24
1841747334 Garrison R Weaver-gourdeau Chiropractor 4115 E. South St, Lakewood, CA 90712 2016-09-01
1073967394 Mirna S Rizkalla Family Medicine 3650 South St Ste 404, Lakewood, CA 90712 2016-04-22
1841657251 Roxanna Jimenez Rehabilitation Practitioner 5818 Clark Ave, Lakewood, CA 90712 2016-01-15
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992976237 Sarah J Easaw Md LLC Internal Medicine 1255 Route 70 Ste 31s, Lakewood, NJ 08701-5973 2008-03-14
1790818425 Western Hematology Oncology Associates, P.C. Internal Medicine 34 Van Gordon St, Suite 160, Lakewood, CO 80228-1705 2007-03-13
1073667010 Vincent J. O'brien Jr. Md, Inc Internal Medicine 14601 Detroit Ave Ste 450, Lakewood, OH 44107-4251 2007-01-23
1811904188 David Morrison Internal Medicine 3300 E South St Ste 304, Lakewood, CA 90805-4594 2006-08-01
1265461768 Alfred H Chan Internal Medicine 6323 111th St Sw, Lakewood, WA 98499-1303 2006-06-30
1407812043 Nauman Moazzam Internal Medicine 11750 W. 2nd Place Suite 100, Lakewood, CO 80228-1705 2006-04-22
1013991736 Stephen J Frank Internal Medicine 34 Van Gordan St, Ste 160, Lakewood, CO 80228 2005-12-06
1972587533 Alvin L Otsuka Internal Medicine 11750 W. 2nd Place Suite100, Lakewood, CO 80228-1705 2005-12-06
1063411684 Sultanali Alidina Internal Medicine 3300 E South St, Suite 209, Lakewood, CA 90805-4549 2005-07-15
1831506898 Junaid Arshad Internal Medicine 3300 E South St Ste 304, Lakewood, CA 90805-4594 2014-07-22
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Competitor

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City LAKEWOOD
Zip Code 90712

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Dataset Information

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.

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