Individual provider · Type 1 NPI
Raghuram Gop Elluru, MD, F.A.C.S.
Plastic and Reconstructive Surgery Physician · Portage, MI
NPI number
1629075668
Active
Practice location
7971 Moorsbridge Rd
Portage, MI 49024-4075
Fax (269) 329-1408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | RE071666 (MI) |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | RE071666 (MI) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 4301071666 (MI) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
11 other providers at this address
- Great Lakes Hand Therapy PCOccupational Therapist Portage, MI NPI 1437378932
- Great Lakes Plastic Reconstructive & Hand Surgery P CPlastic Surgery Physician Portage, MI NPI 1336335785
- Southwest Michigan Plastic and Hand Surgery, PCPlastic Surgery Physician Portage, MI NPI 1720538341
- Three Rivers Health System, IncFoot & Ankle Surgery Podiatrist Portage, MI NPI 1992197925
- Bryan Lee Herder, O.T.Occupational Therapist Portage, MI NPI 1316169303
- Craig Michael Bradfield, OTOccupational Therapist Portage, MI NPI 1215181557
- Diana Calderon, OTOccupational Therapist Portage, MI NPI 1386027977
- Kyle L. Purdum, OTOccupational Therapist Portage, MI NPI 1366976912
- Michael P. Maskill, DPMFoot & Ankle Surgery Podiatrist Portage, MI NPI 1184886111
- Nancy Ellen Krolikowski, O.T.Occupational Therapist Portage, MI NPI 1760603427
- Scott Donald Holley, MD, F.A.C.S.Plastic Surgery Physician Portage, MI NPI 1811994841
About NPI 1629075668
Raghuram Gop Elluru, MD, F.A.C.S.'s National Provider Identifier is 1629075668, issued on Jul 6, 2005. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Portage, MI. The record was last updated on Mar 11, 2026.