Provider Demographics
NPI:1225235153
Name:RAYAPUDI, NAGARJUN (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGARJUN
Middle Name:
Last Name:RAYAPUDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 E MOUNT ROYAL AVE
Mailing Address - Street 2:APT 305
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2758
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:103 E MOUNT ROYAL AVE
Practice Address - Street 2:APT 305
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2758
Practice Address - Country:US
Practice Address - Phone:130-925-8396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125048511208600000X
FL11972208600000X
MD0070037208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery