Raju Shrestha, PA-C
Physician Assistant, Surgical in Rosedale, MD. Individual provider (NPI-1).
NPI number1356969752
StatusActive
Last updated in NPPESOct 16, 2020
Details
- NPI
- 1356969752
- Entity type
- Individual (NPI-1)
- Name
- Raju Shrestha
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2020
- Certification date
- Oct 16, 2020
- Last updated
- Oct 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | C0007502 | MD | Yes |
Practice location
5233 King Ave Ste 208Rosedale, MD 21237-4003
Phone 410-918-1525
Mailing address
5233 King Ave Ste 208Rosedale, MD 21237-4003
Phone 443-248-9545
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