Elluru, Raghuram Gop
Elluru, Raghuram Gop is an individual health care provider with primary practice located at 7971 Moorsbridge Rd , Portage MI 49024-4075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Elluru, Raghuram Gop can be contacted via phone (269) 329-2900.Contact Information
Primary practice address
7971 Moorsbridge Rd
Portage MI 49024-4075
Phone: (269) 329-2900
Fax: (269) 329-1408
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | RE071666 | Michigan |
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | RE071666 | Michigan |
Profile Details
NPI number | 1629075668 |
---|---|
LBN Legal business name | Elluru, Raghuram Gop |
Credentials | M.D., F.A.C.S. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2005 |
Last updated | Apr 17th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629075668 | NPPES |
Michigan | Other | 0C90475 | BLUE CROSS/BLUE SHIELD |
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