KARTHIK RAGHAVAN (NPI# 1164699906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164699906 |
Entity Type | Individual |
Full Name | KARTHIK RAGHAVAN |
Credential | M.D. |
Practice Address |
5700 W Olive Ave Ste 106 Glendale AZ 85302-3147 |
Mailing Address |
2320 N 3rd St Phoenix AZ 85004-1303 |
Practice Telephone | 6233777011 |
Practice Fax Number | 6233448353 |
Mailing Telephone | 6022589900 |
Mailing Fax Number | 6022589904 |
Enumeration Date | 2008-05-12 |
Last Update Date | 2020-06-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 49344 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 972039 | 05 | |
NY | 03244355 | 05 |
Street Address |
5700 W OLIVE AVE STE 106 |
City | GLENDALE |
State | AZ |
Zip Code | 85302-3147 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
Find all providers in zip 85302 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902444623 | Skilled Physicians Group | Surgery | 3747 Foothill Blvd # B140, Glendale, CA 91214-1700 | 2019-12-12 |
1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
1740594761 | Joseph Anthony Dipasquale | Surgery | 18028 N 55th Ave, Glendale, AZ 85308-1302 | 2010-08-02 |
1538391479 | Chaparral Surgical Specialists.ltd | Surgery | 4601 W Bryce Ln, Glendale, AZ 85301-1626 | 2009-08-11 |
1942437629 | Moshe Barnajian | Surgery | 222 W Eulalia St Ste 100a, Glendale, CA 91204-2850 | 2009-06-19 |
1326186636 | David G Davtyan Md Inc A Professional Medicalcorp | Surgery | 1141 N Brand Blvd Ste 300, Glendale, CA 91202-2578 | 2007-02-01 |
1619037405 | Wan-lin Horng | Surgery | 20325 N 51st Ave Ste 102, Glendale, AZ 85308-5665 | 2006-12-11 |
1972690899 | Med-pro Family Clinic, A Medical Corporation | Surgery | 221 E. Glenoaks Blvd., 130, Glendale, CA 91207 | 2006-10-10 |
1487747747 | Ela M Timbadia | Surgery | 5422 W Thunderbird Rd Ste 19d, Glendale, AZ 85306-4729 | 2006-10-01 |
Find all providers in GLENDALE |
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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.