Physician Compare National (NPI:1508917451)

HEALTHCARE PROVIDER: ALLURI RAJU M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1508917451
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709854573
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100709000002
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RAJU
	Individual professional last name
Provider First Name	ALLURI
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	650 ALSTON ST
	Group Practice or individual's line 1 address
City	RICHLAND
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	318256043
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2298873351
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PHOEBE SUMTER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y