| Suja Raju, MD | |
|
766 Hartness Rd, Statesville, NC 28677-3479 | |
| (704) 380-3620 | |
| Not Available |
| Full Name | Suja Raju |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 766 Hartness Rd, Statesville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003254806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2017-01238 (North Carolina) | Primary |
| Entity Name | Gaston Family Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
| Entity Name | Iredell Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811381593 PECOS PAC ID: 0749345007 Enrollment ID: O20090219000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Suja Raju, MD 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1900 | Suja Raju, MD 766 Hartness Rd, Statesville, NC 28677-3479 Ph: (704) 380-3620 |
Elizabeth Ann Wright, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 276 Old Mocksville Rd, Suite 500, Statesville, NC 28625 Phone: 704-878-6467 Fax: 704-878-6467 | |
Benjamin Robert Stacy, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1703 Davie Ave, Statesville, NC 28677 Phone: 704-818-9191 Fax: 704-862-5324 | |
Karen L Melendez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1703 Davie Ave, Statesville, NC 28677 Phone: 704-819-9191 Fax: 704-872-3782 | |
Trishwant Singh Garcha, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 750 Hartness Rd Ste E, Statesville, NC 28677 Phone: 704-924-7575 Fax: 704-924-7877 | |
Dr. Andrew Venters Owens, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-7457 Fax: 704-838-7435 | |
Dr. Dharmen Subodhchandra Shah, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 341 Brookdale Dr, Statesville, NC 28677 Phone: 704-873-1100 |