Individual
RAJU MANTENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1724 RICHMOND AVE, HOUSTON, TX 77098
(832) 783-9100
(832) 783-9101
Mailing address
337 GARDEN OAKS BLVD # 51007, HOUSTON, TX 77018-5501
(713) 597-5131
(855) 835-6461
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
227337
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
227337
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
227337
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
P4780
TX
208VP0000X
Pain Medicine Physician
227337
NY
208VP0014X
Interventional Pain Medicine Physician
227337
NY
208VP0014X
Interventional Pain Medicine Physician
P4780
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02458588
—
NY
01
—
8HS306
BCBS TX
TX
Enumeration date
06/24/2005
Last updated
01/03/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us