Raj Polavaram (NPI# 1336289065, PAC ID# 3476579467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1336289065 |
PAC ID by PECOS | 3476579467 |
Professional Enrollment ID | I20051024000752 |
Full Name | Raj Polavaram |
Organization Legal Name | WESTERN WAKE INTERNAL MEDICINE |
Address |
907 Kildaire Farm Rd Cary NC 27511-3922 |
Phone Number | 9193196610 |
Gender | M |
Credential | MD |
Graduation Year | 2006 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 3678599651 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
907 Kildaire Farm Rd, Cary, NC 27511-3922 | 9193196610 | WESTERN WAKE INTERNAL MEDICINE |
10640 Durant Rd, Suite 101, Raleigh, NC 27614-6566 | 9198700197 | WESTERN WAKE INTERNAL MEDICINE |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 89% |
Organization Legal Name | WESTERN WAKE INTERNAL MEDICINE |
Physicians | 1 |
Street Address |
907 KILDAIRE FARM RD |
City | CARY |
State | NC |
Zip | 27511-3922 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ramesh Konduru | Geriatric Medicine | 907 Kildaire Farm Rd, Cary, NC 27511-3922 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nabila S Tanas | Physical Therapy | 100 Ridgeview Dr, Suite 102, Cary, NC 27511 | |
Tammie Moore | Psychologist, Clinical | 232 E Chatham St, Suite 101, Cary, NC 27511-3459 | |
Marjorie A Howe | Clinical Social Worker | 219 E Chatham St, Suite 205, Cary, NC 27511-3473 | |
Dorothy B Brolin | Chiropractic | 1300 Se Maynard Rd, Suite 202, Cary, NC 27511-3602 | |
Jeanne Latimer Bolick | Clinical Social Worker | 1300 Se Maynard Rd, Suite 103, Cary, NC 27511-3602 | |
Sharilyn H Lemon | Nurse Practitioner | 4000 Glenaire Circle, Cary, NC 27511-3884 | |
Maribeth Hill | Podiatry | 4000 Glenaire Cir, Cary, NC 27511-3884 | |
Daniel Bannard | Chiropractic | Bannard Family Chiropractic and Acupuncture Inc. | 915 Kildaire Farm Rd, Cary, NC 27511-3936 |
Michael Mroczynski | Chiropractic | 901 Kildaire Farm Rd, Suite B1, Cary, NC 27511-3937 | |
Ronald G Begley | Clinical Social Worker | 1150 Se Maynard Rd, Suite 255, Cary, NC 27511-4102 | |
Find all physicians in zip 27511 |
City | CARY |
Zip Code | 27511 |
Specialty | INTERNAL MEDICINE |
City + Specialty | CARY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Raj Polavaram.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.