Mantena, Raju
Mantena, Raju is an individual health care provider with primary practice located at 1724 Richmond Ave , Houston TX 77098. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Mantena, Raju can be contacted via phone (832) 783-9100.Contact Information
Primary practice address
1724 Richmond Ave
Houston TX 77098
Phone: (832) 783-9100
Fax: (832) 783-9101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 227337 | New York |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 227337 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 227337 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 227337 | New York |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 227337 | New York |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | P4780 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | P4780 | Texas |
Profile Details
| NPI number | 1770589731 |
|---|---|
| LBN Legal business name | Mantena, Raju |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jan 3rd, 2019 - about 5 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 | 1770589731 | NPPES |
| Texas | Other | 8HS306 | BCBS TX |
| Texas | MEDICAID | 02458588 | BCBS TX |
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