RAJA CHERUKURI M.D. NPI 1356577076

NPI Information

NPI: 1356577076
Provider Name: RAJA CHERUKURI, M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
18731 MILLHOLLOW
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 383-1518
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Raja Cherukuri, M.D. is a student in an organized health care education training program in San Antonio, TX with 22 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Raja Cherukuri, M.D. NPI is 1356577076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18731 MILLHOLLOW
SAN ANTONIO, TX
ZIP 78258-256
Phone: (210) 383-1518
Fax: (830) 931-3508

The NPI 1356577076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2009 and was last updated on 11/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	N3556	TEXAS	No
2	208M00000X	Hospitalist	N3556	TEXAS	No
3	390200000X	Student in an Organized Health Care Education/Training Program			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	205376115	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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