Raghuram G Elluru (NPI# 1629075668, PAC ID# 4789638305) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1629075668 |
| PAC ID by PECOS | 4789638305 |
| Professional Enrollment ID | I20100813000525 |
| Full Name | Raghuram G Elluru |
| Address |
7971 Moorsbridge Rd Portage MI 49024-4075 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1988 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230015 | THREE RIVERS HEALTH |
| 230017 | BRONSON METHODIST HOSPITAL |
| 230117 | BORGESS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7971 Moorsbridge Rd, Portage, MI 49024-4075 | ||
| 701 S Health Pkwy, Three Rivers Hlth, Three Rivers, MI 49093-8352 | 2692781145 | THREE RIVERS HEALTH SYSTEM INC |
| Street Address |
7971 MOORSBRIDGE RD |
| City | PORTAGE |
| State | MI |
| Zip | 49024-4075 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig M Bradfield | Occupational Therapy | Great Lakes Hand Therapy PC | 7971 Moorsbridge Rd, Portage, MI 49024-4075 |
| Bryan Lee Herder | Occupational Therapy | Great Lakes Hand Therapy PC | 7971 Moorsbridge Rd, Portage, MI 49024-4075 |
| Diana Calderon | Occupational Therapy | Great Lakes Hand Therapy PC | 7971 Moorsbridge Rd, Portage, MI 49024-4075 |
| Yvonne R Fulton | Occupational Therapy | Great Lakes Hand Therapy PC | 7971 Moorsbridge Rd, Portage, MI 49024-4075 |
| Kyle L Purdum | Occupational Therapy | Great Lakes Hand Therapy PC | 7971 Moorsbridge Rd, Portage, MI 49024-4075 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Mccallister | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Christine A Berry | Audiologist | Three Rivers Health System Inc | 3850 Glenkerry Ct, Portage, MI 49024-0700 |
| Michael T Kolinski | Osteopathic Manipulative Medicine | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Matthew Lars Kuiper | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Alessandra R Chatson | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Barton W Wild | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Laythen Young | Physical Therapy | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Thomas Raymond Ulrich | Physician Assistant | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Joel L Bez | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Nancy Ambs | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Find all physicians in zip 49024 | |||
| City | PORTAGE |
| Zip Code | 49024 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | PORTAGE + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Raghuram G Elluru.
| 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.