DR. RAGHUNANDAN KAMINENI


Address: 665 Winter St Se, Suite B0350, Salem, OR 97301-3934
Phone: 5038144440

DR. RAGHUNANDAN KAMINENI (NPI# 1659372407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659372407
Entity Type Individual
Full Name DR. RAGHUNANDAN KAMINENI
Credential MD
Practice Address 665 Winter St Se
Suite B0350
Salem
OR 97301-3934
Mailing Address Po Box 886
Salem
OR 97308-0886
Practice Telephone 5038144440
Practice Fax Number 5035617180
Mailing Telephone (503) 814-4440
Mailing Fax Number 5035617180
Enumeration Date 2005-08-02
Last Update Date 2017-07-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD25541 OR Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
MD OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE PTAN R152646 01
OR 269541 05

Office Location

Street Address 665 WINTER ST SE
SUITE B0350
City SALEM
State OR
Zip Code 97301-3934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356842207 Emily Stahl Mollenkopf Registered Nurse 665 Winter St Se, Salem, OR 97301-3934 2018-02-26
1083166037 Courtney E Brozovich Physician Assistant 665 Winter St Se, Salem, OR 97301-3934 2016-10-25
1215304092 Caroline Houston Pharmacist 665 Winter St Se, Salem, OR 97301-3934 2015-08-27
1982008983 Julian Mark Williams Perfusionist 665 Winter St Se, Salem, OR 97301-3934 2014-10-20
1366861775 Andrew W Judd Pathology 665 Winter St Se, Bldg B 2nd Floor Pathology, Salem, OR 97301-3934 2014-04-14
1215215371 Atish Chopra Surgery 665 Winter St Se, Salem, OR 97301-3934 2011-07-23
1003106071 Jeffrey David Crawford Surgery 665 Winter St Se, Salem, OR 97301-3934 2011-04-12
1528357795 Mariko Aili Ferronato Surgery 665 Winter St Se, Salem, OR 97301-3934 2011-03-28
1174848162 Trang Nguyen Moore Internal Medicine 665 Winter St Se, Salem, OR 97301-3934 2010-04-01
1427282409 Natalie Ann Melrose Internal Medicine 665 Winter St Se, Salem, OR 97301-3934 2009-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568699932 Arjun K. Chagarlamudi Internal Medicine 777 Commercial St. Se, Suite 130, Salem, OR 97301 2009-06-12
1922076546 Kirk William Walker Internal Medicine 777 Commercial St Se, Suite 130, Salem, OR 97301-3421 2006-03-09
1619949401 Deborah A Hughes Internal Medicine 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 2006-02-06
1265433866 Richard Alan Wilson Internal Medicine 885 Mission Street Se, Salem, OR 97302 2005-08-03
1710988696 Daniel James Bailly Internal Medicine 885 Mission St Se, Salem, OR 97302-6222 2005-08-02
1457352296 James Philip Lowry Internal Medicine 875 Oak St Se Bldg C, Salem, OR 97301-3975 2005-08-02
1306102595 Ryan James Connolly Internal Medicine 81 Highland Ave, Salem, MA 01970 2012-04-02
1447564422 Southwest Virginia Cardiology PC Internal Medicine 2850 Keagy Rd, Salem, VA 24153-7458 2010-08-02
1932411485 Oluwadamilola F Ojutalayo Internal Medicine 81 Highland Ave, Salem, MA 01970 2010-07-12
1902138969 Oregon Heart Center PC Internal Medicine 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 2010-02-02
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City SALEM
Zip Code 97301

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Dataset Information

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.

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