MANJUNATH GOPAL RAJU (NPI# 1528251618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528251618 |
| Entity Type | Individual |
| Full Name | MANJUNATH GOPAL RAJU |
| Practice Address |
3311 Riverbend Dr Springfield OR 97477 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 5414844332 |
| Practice Fax Number | 5413020786 |
| Mailing Telephone | 3607291411 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD181855 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD181855 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
3311 RIVERBEND DR |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154307528 | Hongsheng M Guo | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2005-12-19 |
| 1528516986 | Steven Lorenzen | Physician Assistant | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2016-09-14 |
| 1700285582 | Shannon Carlson | Nurse Practitioner | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2014-08-18 |
| 1265872691 | Chinar Agarwal | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2013-06-30 |
| 1467738062 | Aaron Wayne Harding | Clinical Exercise Physiologist | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2011-10-26 |
| 1992099824 | Kenzie A Scheidt | Physician Assistant | 3311 Riverbend Dr, Oregon Cardiology, Springfield, OR 97477-8800 | 2011-06-08 |
| 1770725046 | Briana O'kelley | Physician Assistant | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2009-04-01 |
| 1568601607 | University Professional Services | General Practice | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2009-02-12 |
| 1548426414 | Mary A Costello | Nurse Practitioner | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2008-07-31 |
| 1841467347 | Eric Richard Muller | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
| 1770523532 | Patrick Francis Adrian Magee | Internal Medicine | 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 | 2006-06-08 |
| 1669004966 | Effingham Hospital, Inc. | Internal Medicine | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2020-02-05 |
| 1023520475 | Michael Robert West | Internal Medicine | 417 Baltimore Pike, Springfield, PA 19064-3810 | 2017-10-25 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| 1508225616 | Margaret Jordan | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2016-02-17 |
| 1215333604 | Meredith Fleming | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2014-11-12 |
| 1326486515 | Maryna J Popp | Internal Medicine | 800 N 1st St, Springfield, IL 62702-3719 | 2013-06-10 |
| 1730425893 | Nileshkumar J Patel | Internal Medicine | 800 N 1st St, Springfield, IL 62702 | 2012-12-18 |
| 1760770101 | Bhuvnesh Aggarwal | Internal Medicine | 800 N 1st St, Springfield, IL 62702 | 2011-07-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on MANJUNATH GOPAL RAJU.
| 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.