MEDICARE: BHARATH RAJU 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	207T00000X	Neurological Surgery Physician	333896	NY

General Provider Information

NPI Number	:	1770225237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHARATH RAJU MD

Provider Business Mailing Address
First Line	:	451 CLARKSON AVE # C3113
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2097
Country	:	US
Telephone Number	:	718-245-3062
Fax Number	:	718-245-4725

Provider Business Practice Location Address
First Line	:	451 CLARKSON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2097
Country	:	US
Telephone Number	:	718-245-3062
Fax Number	:	718-245-4725

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

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	12/16/2025

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