MEDICARE: RAJ P TERKONDA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YS0123X	Facial Plastic Surgery Physician	G81638	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639176803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJ P TERKONDA MD

Provider Business Mailing Address
First Line	:	6801 S YOSEMITE ST
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-1406
Country	:	US
Telephone Number	:	303-209-1819
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 E 3RD AVE STE 206
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-5120
Country	:	US
Telephone Number	:	303-224-4711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2005
Last Update Date	:	10/02/2025

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Directions to “ RAJ P TERKONDA MD” Practice Location

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