Individual
DR. MUDUNURI V RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20898
SC
208M00000X
Hospitalist Physician
20898
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110200011
RAILROAD MEDICARE
SC
01
—
1124095484
NPI
SC
01
—
1316155112
GROUP NPI
SC
05
—
GP4690
—
SC
01
—
P00209467
RAILROAD MEDICARE
SC
01
—
P00437301
RAILROAD MEDICARE
SC
05
—
T48874
—
SC
Enumeration date
03/07/2006
Last updated
10/19/2018
Update your record
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