SUJATHA RAJU (NPI# 1992740567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992740567 |
| Entity Type | Individual |
| Full Name | SUJATHA RAJU |
| Credential | M.D. |
| Practice Address |
2420 Professional Ct Ste 150 Las Vegas NV 89128-0837 |
| Mailing Address |
6622 N 91st Avenue, Suite 220 Glendale AZ 85305-8530 |
| Practice Telephone | 7028530090 |
| Practice Fax Number | 7028530096 |
| Mailing Telephone | 6027596883 |
| Mailing Fax Number | 6022243315 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
11750 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 235419 | 05 | |
| NV | RAILROAD MEDICARE | P00341428 | 01 |
| NV | 1992740567 | 05 | |
| NV | 100509262 | 05 |
| Street Address |
2420 PROFESSIONAL CT STE 150 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365286 | Gene Ong | Internal Medicine | 2420 Professional Ct Ste 150, Las Vegas, NV 89128-0837 | 2005-09-09 |
| 1922489897 | Nkdhc Rudnitsky Pllc | Internal Medicine | 2420 Professional Ct Ste 150, Las Vegas, NV 89128-0837 | 2015-06-16 |
| 1992811640 | Hassan Elsir Osman | Internal Medicine | 2420 Professional Ct Ste 150, Las Vegas, NV 89128-0837 | 2006-08-22 |
| 1316909864 | Samuel Adam Kantor | Internal Medicine | 2420 Professional Ct Ste 150, Las Vegas, NV 89128-0837 | 2006-04-03 |
| 1427039932 | Jeffrey Y Ryu | Internal Medicine | 2420 Professional Ct Ste 150, Las Vegas, NV 89128-0837 | 2005-11-10 |
| 1023099132 | Marwan A Takieddine | Internal Medicine | 2420 Professional Ct Ste 150, Las Vegas, NV 89128-0837 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689850695 | Rui Yu | Internal Medicine | 2425 N Lamb Blvd Ste 120, Las Vegas, NV 89115-5420 | 2008-01-21 |
| 1689870487 | Maria Diana Vornicu | Internal Medicine | 1581 Mount Mariah Dr Ste 150, Las Vegas, NV 89106-1502 | 2007-06-27 |
| 1093911430 | Las Vegas Kidney Specialists Janga LLP | Internal Medicine | 5945 S Rainbow Boulevard, Suite 140, Las Vegas, NV 89118 | 2007-06-22 |
| 1801902234 | The Nevada Medical Group | Internal Medicine | 2200 W. Horizon Ridge Parkway, Suite F, Las Vegas, NV 89052-2637 | 2006-08-21 |
| 1447280524 | Radhika Rani Janga | Internal Medicine | 6970 W Patrick Ln Ste 140, Las Vegas, NV 89113-0270 | 2006-07-04 |
| 1962483073 | Gary L Kantor | Internal Medicine | 1750 E Desert Inn Rd, #200, Las Vegas, NV 89109-3202 | 2005-11-07 |
| 1801886825 | Neville Pokroy | Internal Medicine | 500 S Rancho Dr, Suite 12, Las Vegas, NV 89106-4844 | 2005-10-21 |
| 1023006384 | Harsha M Mulchandani | Internal Medicine | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2005-10-11 |
| 1659365286 | Gene Ong | Internal Medicine | 2420 Professional Ct Ste 150, Las Vegas, NV 89128-0837 | 2005-09-09 |
| 1679567309 | Luana Pillon | Internal Medicine | 7908 W Sahara Ave, Las Vegas, NV 89117-1990 | 2005-09-08 |
| Find all providers in LAS VEGAS | ||||
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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.