MEDA RAGHAVENDRA MD
NPI 1629048962
Pain Medicine - Interventional Pain Medicine in Maywood, IL

Active since January 26, 2006
2160 S FIRST AVE, (15750 MARIAN DR., HOMER GLEN, IL. 60526), MAYWOOD, IL 60153(708) 216-6462(708) 216-1249 Get Directions Write a Review

NPPES record last updated: March 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Meda Raghavendra Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDA RAGHAVENDRA MD (NPI 1629048962) is an individual interventional pain medicine provider in Maywood, Illinois, licensed in Illinois (36092881) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1629048962
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameMEDA RAGHAVENDRACredential: MD
Location Address2160 S FIRST AVE, (15750 MARIAN DR., HOMER GLEN, IL. 60526)Maywood, IL 60153
Mailing Address2160 S First Ave, (15750 Marian Dr., Homer Glen, Il. 60526)Maywood, IL 60153 · (708) 216-6462 · Fax (708) 216-1249
Fax(708) 216-1249
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMarch 4, 2010
NPI 1629048962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in IL · 36092881
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
2160 S FIRST AVE, Maywood, IL 60153

Other Identifiers 3

Medicare ID-Type Unspecified590760IL
Medicare UPINH22290
Medicare ID-Type UnspecifiedL98571IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
2160 S FIRST AVE, LOYOLA UNIVERSITY MEDICAL CENTER 101-1740
MAYWOOD, IL 60153
Surgery
2160 S FIRST AVE, EMS BLDG., 3RD FLOOR
MAYWOOD, IL 60153
Anesthesiology
2160 S FIRST AVE, BLDG., RM. 3102
MAYWOOD, IL 60153
Internal Medicine (Nephrology)
2160 S FIRST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Emergency Medicine
2160 S FIRST AVE, EMS BLDG., RM. 2700
MAYWOOD, IL 60153
Pediatrics (Neonatal-Perinatal Medicine)
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 3307)
MAYWOOD, IL 60153
Internal Medicine (Critical Care Medicine)
2160 S FIRST AVE, LUH-NORTH ENT., RM. 7604
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S FIRST AVE, (7511 LEMONT RD, DARIEN, IL. 60561)
MAYWOOD, IL 60153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meda Raghavendra's NPI number?

The NPI number for Meda Raghavendra is 1629048962. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Meda Raghavendra located?

Meda Raghavendra practices at 2160 S First Ave (15750 Marian Dr., Homer Glen, Il. 60526), Maywood, IL 60153. The listed phone number is (708) 216-6462.

What is Meda Raghavendra's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Meda Raghavendra was last updated on March 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.