Niranjana Raju, MD | |
930 Park Dr, Ste Genevieve, MO 63670-1539 | |
(573) 883-7474 | |
Not Available |
Full Name | Niranjana Raju |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 930 Park Dr, Ste Genevieve, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700859394 | NPI | - | NPPES |
193294 | Other | MO | HEALTHLINK |
46047 | Other | MO | HEALTHCARE USA |
999554 | Other | MO | COMMUNITY CARE PLUS |
060023232 | Other | MO | RAILROAD MEDICARE |
201290004 | Medicaid | MO | |
A11284 | Other | MO | MERCY HEALTH |
0450220 | Other | MO | UHC |
23094 | Other | MO | BLUE CHOICE |
36162 | Other | MO | BCBS |
4574132 | Other | MO | AETNA |
46047 | Other | MO | GHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MOR6A98 (Missouri) | Primary |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184658387 PECOS PAC ID: 3274432802 Enrollment ID: O20040102000645 |
Entity Name | Ste Genevieve County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073587655 PECOS PAC ID: 3274432802 Enrollment ID: O20040312000516 |
Mailing Address | Practice Location Address |
---|---|
Niranjana Raju, MD Po Box 366, Ste Genevieve, MO 63670-0366 Ph: (573) 883-4477 | Niranjana Raju, MD 930 Park Dr, Ste Genevieve, MO 63670-1539 Ph: (573) 883-7474 |
Dr. Solomon Noguera, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Ste Genevieve Dr, Ste Genevieve, MO 63670 Phone: 573-883-2751 | |
Mr. Dan Frissell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 753 Pointe Basse Dr, Ste Genevieve, MO 63670 Phone: 573-883-2782 | |
Sharon A Grass, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 753 Pointe Basse Dr, Ste Genevieve, MO 63670 Phone: 573-883-4477 Fax: 573-883-4472 | |
Ms. Susan O'donnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 Park Dr, Ste Genevieve, MO 63670 Phone: 573-883-7424 |