PULLA RAGHURAM REDDY (NPI# 1437167962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437167962 |
| Entity Type | Individual |
| Full Name | PULLA RAGHURAM REDDY |
| Credential | MD |
| Practice Address |
501 N Graham St., Suite 200 Portland OR 97227 |
| Mailing Address |
Po Box 3777 Portland OR 97208-3777 |
| Practice Telephone | 5034137162 |
| Practice Fax Number | 5034134711 |
| Mailing Telephone | 5034133900 |
| Mailing Fax Number | 5034133710 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2017-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD26229 | OR | Allopathic & Osteopathic Physicians |
| N | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
MD26229 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 023274 | 05 |
| Street Address |
501 N GRAHAM ST., SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235233 | David S. Peizner | Specialist | 501 N Graham St., Suite 200, Portland, OR 97227 | 2005-06-16 |
| 1841688421 | Nicholas Burnham Kinder | Nurse Practitioner | 501 N Graham St., Suite 200, Portland, OR 97227 | 2015-01-05 |
| 1134282932 | Amish J Desai | Internal Medicine | 501 N Graham St., Suite 200, Portland, OR 97227 | 2006-12-19 |
| 1548265457 | Ramnik S. Jhooty | Specialist | 501 N Graham St., Suite 200, Portland, OR 97227 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1467646125 | Edward A Greco Jr Md | Internal Medicine | 693 Congress Street, Portland, ME 04102 | 2007-09-05 |
| 1760692529 | Shaun Lowell Ageno | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Uhn-62, Portland, OR 97239-3011 | 2007-05-23 |
| 1437269974 | Hamilton S Gillespie | Internal Medicine | 501 N Graham St Ste 200, Portland, OR 97227-2000 | 2006-08-30 |
| 1508874058 | Craig Stanford Broberg | Internal Medicine | 3181 Sw Sam Jackson Pk Rd, Uhn 62 Division of Cardiology, Portland, OR 97239 | 2006-08-03 |
| 1255348058 | George David Giraud | Internal Medicine | 3710 Sw Us Veterans Road, Portland Va Medical Center, P3 Card, Portland, OR 97207-1034 | 2006-08-02 |
| 1063445880 | Edward Greco | Internal Medicine | 693 Congress St, Portland, ME 04102-3303 | 2006-07-07 |
| 1639109044 | George Quentin Hamilton | Internal Medicine | 8305 Se Monterey Ave, #105, Portland, OR 97086-7725 | 2006-07-03 |
| 1164498499 | Jason Roland Wollmuth | Internal Medicine | 1111 Ne 99th Ave Ste 201, Portland, OR 97220-9442 | 2006-02-27 |
| 1801862255 | Nandita Chaturvedi Gupta | Internal Medicine | 3303 Sw Bond Ave Ste 9, Portland, OR 97239-4501 | 2006-02-26 |
| Find all providers in PORTLAND | ||||
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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.