RAJU MANTENA (NPI# 1770589731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770589731 |
| Entity Type | Individual |
| Full Name | RAJU MANTENA |
| Credential | D.O |
| Practice Address |
1724 Richmond Ave Houston TX 77098 |
| Mailing Address |
337 Garden Oaks Blvd # 51007 Houston TX 77018-5501 |
| Practice Telephone | 8327839100 |
| Practice Fax Number | 8327839101 |
| Mailing Telephone | 7135975131 |
| Mailing Fax Number | 8558356461 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 227337 | NY | Allopathic & Osteopathic Physicians |
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
227337 | NY | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
P4780 | TX | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
227337 | NY | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
227337 | NY | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
P4780 | TX | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
227337 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02458588 | 05 | |
| TX | BCBS TX | 8HS306 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7015 Almeda Rd, Suite 3, Houston, TX 770542101 | 5164966447 |
| Street Address |
1724 RICHMOND AVE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689398 | Uday Khosla | Internal Medicine | 1724 Richmond Ave, Houston, TX 77098-3604 | 2005-06-20 |
| 1174138663 | Gita Gyawali-sedai | Internal Medicine | 1724 Richmond Ave, Houston, TX 77098-3604 | 2020-09-10 |
| 1447817135 | Andrea Hurley | Nurse Practitioner | 1724 Richmond Ave, Houston, TX 77098-3604 | 2019-05-29 |
| 1316400864 | Tiffany Biggers | Nurse Practitioner | 1724 Richmond Ave, Houston, TX 77098-3604 | 2019-04-11 |
| 1649734450 | Alham Samani | Chiropractor | 1724 Richmond Ave, Houston, TX 77098-3604 | 2019-01-25 |
| 1407320641 | Millicent Mae Heisner | Nurse Practitioner | 1724 Richmond Ave, Houston, TX 77098-3604 | 2019-01-21 |
| 1881179588 | Mary Ezinne Ezebuiro | Nurse Practitioner | 1724 Richmond Ave, Houston, TX 77098-3604 | 2018-09-27 |
| 1891207601 | Remix Medical, Pllc | Anesthesiology | 1724 Richmond Ave, Houston, TX 77098 | 2017-11-02 |
| 1760918320 | Ashley Mathew | Physician Assistant | 1724 Richmond Ave, Houston, TX 77098-3604 | 2017-05-02 |
| 1962668731 | Kulsum Akbar | Anesthesiology | 1724 Richmond Ave, Houston, TX 77098-3604 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570199 | Neurology Practice Group, Pllc | Clinic/Center | 2711 Ferndale Street, Houston, TX 77098 | 2019-07-19 |
| 1235685488 | Help Start Here & Consulting | Counselor | 2724 Kipling St Apt D132, Houston, TX 77098 | 2016-08-28 |
| 1578938635 | Jennifer Laurel Gardner | Social Worker | 3100 Richmond Ave Ste 403, Houston, TX 77098 | 2015-12-01 |
| 1861877813 | Emanuel Mugu Miano | Physical Therapist | 2121 Richmond Ave # 324, Houston, TX 77098 | 2015-07-20 |
| 1780061739 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2111 W Alabama St, Houston, TX 77098 | 2015-04-29 |
| 1538563770 | Amber Gay Fichtner | Physician Assistant | 2800 Kirby Drive Suite B212, Houston, TX 77098 | 2014-10-17 |
| 1356754246 | Elline Callner | Occupational Therapist | 3120 Southwest Freeway, Suite 612, Houston, TX 77098 | 2014-06-09 |
| 1316366420 | Rinnovare Home Dialysis | Home Health | 2800 Kirby Drive Suite B513, Houston, TX 77098 | 2014-04-16 |
| 1831514199 | Pediatric Home Healthcare | Home Health | 3120 Southwest Fwy Ste 227, Houston, TX 77098 | 2014-02-24 |
| 1295164523 | Shang-jin Shi | Acupuncturist | 1906 West Alabama Street, Houston, TX 77098 | 2013-11-07 |
| Find all providers in zip 77098 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346721834 | Interventional Pain and Wellness | Anesthesiology | 4543 Post Oak Place Dr Ste 123, Houston, TX 77027-3103 | 2018-08-23 |
| 1578058863 | Heights Diagnostics LLC | Anesthesiology | 11006 Landon Ln, Houston, TX 77024-5402 | 2018-06-28 |
| 1831699933 | Integrated Health and Pain Management Pllc | Anesthesiology | 1120 Nasa Pkwy Ste 220q, Houston, TX 77058-3342 | 2018-02-15 |
| 1922559988 | Foundation for Better Education | Anesthesiology | 3920 Braxton Dr Ste 110, Houston, TX 77063-6304 | 2016-10-14 |
| 1740645787 | Delta Spine and Pain Clinic Pa | Anesthesiology | 12000 Richmond Ave Ste 270, Houston, TX 77082-2431 | 2015-12-17 |
| 1093109167 | Colbert Pllc | Anesthesiology | 6121 Hillcroft St # 0, Houston, TX 77081-1002 | 2015-03-26 |
| 1053752428 | Gulf Coast Pain Specialists Pllc | Anesthesiology | 10930 Resource Pkwy Ste A, Houston, TX 77089-6157 | 2013-07-12 |
| 1063760858 | Saman Kohanof | Anesthesiology | 6431 Fannin St Ste 5196, Houston, TX 77030-1501 | 2012-08-27 |
| 1164778528 | Thuan Duc Dao | Anesthesiology | 9701 Richmond Ave Ste 220, Houston, TX 77042-4622 | 2012-08-02 |
| 1215293808 | Cole Andrew Fitzgerald | Anesthesiology | 13300 Hargrave Rd Ste 505, Houston, TX 77070-4374 | 2012-04-08 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on RAJU MANTENA.
| 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.