DR. Raghuram Gop Elluru, M.D., F.A.C.S.

NPI #1629075668 in Portage, Michigan

Provider Information

NPI Number: 1629075668
Entity Type: Individual
Name: DR. Raghuram Gop Elluru, M.D., F.A.C.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Plastic Surgery
Credential: M.D., F.A.C.S.
Enumeration Date: Jul 6, 2005
Last Updated: Apr 17, 2013

Practice Location

Address: 7971 MOORSBRIDGE RD
City: Portage
State: Michigan
ZIP Code: 49024-4075
Phone: (269) 329-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary
Plastic Surgery - Surgery of the Hand — Surgery of the Hand	2082S0105X

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Organizations

Provider Name	Specialty	City
Great Lakes Plastic Reconstructive & Hand Surgery P C	Plastic Surgery	Portage	AI Deep Dive

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