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DR. RAJA ALBERTO APPANNAGARI GNANADEV MS, MD
NPI 1992327084
Student in an Organized Health Care Education/Training Program in Colton, CA

Active since May 11, 2020PECOS Enrolled
400 N PEPPER AVE DEPT OF, COLTON, CA 92324(909) 921-4109 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Raja Alberto Appannagari Gnanadev Ms, Md NPPES

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

DR. RAJA ALBERTO APPANNAGARI GNANADEV MS, MD (NPI 1992327084) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992327084
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RAJA ALBERTO APPANNAGARI GNANADEVCredential: MS, MD
Location Address400 N PEPPER AVE DEPT OFColton, CA 92324-1819
Mailing Address550 Manzanita RdRedlands, CA 92373-7267 · (909) 921-4109
Phone(909) 921-4109
Sole ProprietorYes
Enumeration DateMay 11, 2020
NPPES CertifiedMay 11, 2020
✔ NPI 1992327084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

400 N PEPPER AVE DEPT OF, Colton, CA 92324
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raja Alberto Appannagari Gnanadev Ms, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Raja Gnanadev's NPI number?

The NPI number for Raja Gnanadev is 1992327084. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Raja Gnanadev located?

Raja Gnanadev practices at 400 N Pepper Ave Dept Of, Colton, CA 92324. The listed phone number is (909) 921-4109.

What is Raja Gnanadev's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Raja Gnanadev enrolled in Medicare?

Yes. Raja Gnanadev is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raja Gnanadev was last updated on May 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.