MEDICARE: SENTHIL K RAJU M.D.

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	207Q00000X	Family Medicine Physician	4301078867	MI
2	207Q00000X	Family Medicine Physician	26716	OK
3	208M00000X	Hospitalist Physician	26716	OK

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	:	1922009075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SENTHIL K RAJU M.D.

Provider Business Mailing Address
First Line	:	4220 N CLASSEN BLVD STE A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-2434
Country	:	US
Telephone Number	:	405-513-4591
Fax Number	:	405-493-8506

Provider Business Practice Location Address
First Line	:	4220 N CLASSEN BLVD STE A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-2434
Country	:	US
Telephone Number	:	405-513-4591
Fax Number	:	405-493-8506

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	02/18/2025

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