Srirangarajan Raju
Internal Medicine (Sleep Medicine)

Address: 1118 Windover, Jonesboro, AR 72401-6038
Phone: 8703364144

Srirangarajan Raju (NPI# 1053570085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1053570085
Entity Type Individual
Full Name Srirangarajan Raju
Credential MD
Gender Male
Practice Address 1118 Windover
AR 72401-6038
Practice Telephone 8703364144
Practice Fax Number 8709343653
Mailing Address 2000 S Thompson St
AZ 86001-8759
Mailing Telephone 9282266439
Mailing Fax Number 9282266411
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-06-05
Last Update Date 2018-11-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 208M00000X Hospitalist Allopathic & Osteopathic Physicians E8258 AR
Yes 207RS0012X Internal Medicine · Sleep Medicine Allopathic & Osteopathic Physicians 55671 AZ
No 207RS0012X Internal Medicine · Sleep Medicine Allopathic & Osteopathic Physicians E-8258 AR

Other Provider Identifier

State Identifier Issuer Type Code
MO 1053570085 MEDICAID
IL 1053570085 MEDICAID

Physician Overview

NPI 1053570085
PAC ID by PECOS 7315118429
Professional Enrollment ID I20140214000946
Full Name Srirangarajan Raju
Phone Number 8709355432
Gender M
Graduation Year 2004
Primary Specialty SLEEP MEDICINE
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 2961547526
Number of Group Practice Members 210
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Office Location

Street Address 1118 WINDOVER
State AR
Zip Code 72401-6038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528399755 Northeast Arkansas Clinic Charitable Foundation, Inc. Clinic/Center 1118 Windover, Jonesboro, AR 72401-6155 2010-01-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
1336633387 Center for Eating Disorders and Behavioral Wellness Plc Social Worker 225 S Main St Ste 102, Jonesboro, AR 72401 2018-06-21
1063900439 Rachel Gibbons Milner Registered Nurse 5555 Macedonia Rd Apt D16, Jonesboro, AR 72401 2018-05-01
1164919684 Matthew Carpenter Internal Medicine Imrp Clinic 300 Carson Street, Jonesboro, AR 72401 2018-04-19
1346752151 Chanel Dominque Bullock Nurse Practitioner 1150 E Matthews Ave Ste 203, Jonesboro, AR 72401 2017-11-02
1255859831 Southern Dental of Hilltop Pllc Dentist 2000 Fielder Drive, Jonesboro, AR 72401 2017-09-05
1699292649 Kh Enterprises In Home Supportive Care 2512 A Alexander Drive, Jonesboro, AR 72401 2017-08-29
1942727730 Tyler Alan Soo Pharmacist 2822 East Nettleton Avenue, Jonesboro, AR 72401 2017-08-23
1689103038 Creighton Deshawn Powell Dentist 1699 Stadium Blvd Suite I, Jonesboro, AR 72401 2017-06-08
1639615297 Surgery Center At The Reserve, P.a., Inc. Clinic/Center 2241 Hillpark Cove, Suite B, Jonesboro, AR 72401 2017-01-06
Find all providers in zip 72401

Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568901163 Arkansas Health Group Internal Medicine 3500 Springhill Dr Ste 200a, North Little Rock, AR 72117-2948 2017-02-15
1336493212 Adil Imran Internal Medicine 35 Glasgow Ct, Little Rock, AR 72211-2169 2012-10-31
1528470200 Nanjunda Prabha Internal Medicine 1217 Batesville Blvd, Batesville, AR 72501-8912 2014-05-29
1780816561 Sandeep Goplani Internal Medicine 3336 N Futrall Dr, Fayetteville, AR 72703-4057 2009-08-13
1457591687 Sleep Specialist of Arkansas Pllc Internal Medicine 617 Marion St, Searcy, AR 72143-4845 2009-02-27
1275556599 David G Davila Internal Medicine 9500 Kanis Rd, Hickingbotham Outpatient Center, Little Rock, AR 72205-6324 2006-07-26
1548298466 Michael Alan Eckles Internal Medicine 3344 N Futrall Dr, Fayetteville, AR 72703 2006-06-29
1194764290 Jason L Williams Internal Medicine 9500 Kanis Rd, Little Rock, AR 72205-6324 2006-06-05
1831171263 Dimitry A. Fomin Internal Medicine 2708 Rife Medical Ln, Suite 200, Rogers, AR 72758-1452 2005-11-21


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Zip Code 72401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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