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Contact Information

RAJU MANTENA, D.O
1724 RICHMOND AVE
HOUSTON, TX77098
 Phone: 832-783-9100
 Fax: 832-783-9101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for RAJU MANTENA · (Male)

NPI Number 1770589731
Status Active
Credentials D.O
Entity Individual
Enumeration date 06/24/2005
Last updated 01/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 227337
  • TX License # P4780
  • NY Medicaid 02458588
  • TX Other 8HS306 BCBS TX
Hospital affiliation(s)
  • PARK PLAZA HOSPITAL - (Acute Care)
    1313 HERMANN DR
    HOUSTON, TX 77004
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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