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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RAGHURAM GOP ELLURU, M.D., F.A.C.S.

Active

DR. RAGHURAM GOP ELLURU, M.D., F.A.C.S. is a Plastic Surgery healthcare provider located in PORTAGE, Michigan. NPI 1629075668 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · PORTAGE, MI

Registration Details

NPI Number
1629075668
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2005 (21.068048320783 yrs)
Last Updated
Apr 17, 2013
Licenses
RE071666 (MI)
RE071666 (MI)

Practice Information

Address
7971 MOORSBRIDGE RD
PORTAGE, MI, 490244075
Browse MI providers · Browse ZIP 49024
Phone
2693292900
Fax
2693291408
Primary Specialty
Plastic Surgery
208200000X
Additional Specialty
Surgery of the Hand (Plastic)

Other Plastic Surgery Providers in PORTAGE, MI

Name Credential NPI
DR. SCOTT DONALD HOLLEY M.D., F.A.C.S. 1811994841
ALAN S MESSINGER MD 1194719336
DR. KAREN M BUCKLEY MD 1225094659
DR. KIMBERLY CLAWSON 1689818486
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.