RAGHU NANDAN (NPI# 1568750552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568750552 |
| Entity Type | Individual |
| Full Name | RAGHU NANDAN |
| Other Name | RAGHUNANDAN VENKAT |
| Credential | M.B.B.S./MD |
| Practice Address |
1229 E Seminole St Ste 330 Springfield MO 65804-2227 |
| Practice Telephone | 4178209330 |
| Mailing Telephone | 4178209330 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 2018032438 | MO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | R72827 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 N Campbell Ave, St. 4334, Tucson, AZ 857240001 | 5206267747 | |
| 1800 Orleans St, Baltimore, MD 21287 | 4109555000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861463606 | Raghu Nandan | Internal Medicine | 3650 South St, 212, Lakewood, CA 90712-1502 | 2006-01-30 |
| Street Address |
1229 E SEMINOLE ST STE 330 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881119378 | Taylor Jan Berube | Plastic Surgery | 300 Stafford St Ste 256, Springfield, MA 01104-3513 | 2017-08-07 |
| 1417240953 | Collier Stephens Pace | Plastic Surgery | Memorial Medical Center 701 N 1st St, Springfield, IL 62781-5051 | 2011-05-17 |
| 1346551199 | Aparajit Naram | Plastic Surgery | 2 Medical Center Dr Ste 206, Springfield, MA 01107-1272 | 2010-06-27 |
| 1508182296 | Jonathan Y Lee | Plastic Surgery | 2 Medical Center Dr Ste 309, Springfield, MA 01107-1271 | 2010-04-20 |
| 1326259847 | Phillip A Stone Md, PC | Plastic Surgery | 57 Mulberry St, Springfield, MA 01105-1406 | 2007-05-25 |
| 1457461766 | Beth A. Bergman | Plastic Surgery | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2006-08-30 |
| 1093734113 | Charles A Loguda | Plastic Surgery | 955 S Springfield Ave, Suite 105 Bldg. A, Springfield, NJ 07081-3570 | 2006-07-19 |
| 1821066192 | Reuben A Bueno Jr. | Plastic Surgery | 747 N Rutledge St Fl 3, Springfield, IL 62702-6700 | 2006-03-10 |
| 1124019807 | Thomas Paul Rak | Plastic Surgery | 415 E Home Rd, Springfield, OH 45503-2708 | 2005-11-02 |
| 1376151258 | Lauren Woldanski | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2020-07-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.