Active NPIIndividual provider

Vidya Raju, MD

Internal Medicine in Revere, Massachusetts

NPI Number1699898809
Practice location
300 Ocean Ave, Revere, MA 02151-3675
Fax
781-485-6391
Last updated
March 19, 2026

Vidya Raju is an Internal Medicine based in Revere, MA. Vidya Raju practices in Revere, MA and has the professional credentials of MD. The NPI Number for Vidya Raju is 1699898809 and holds a License No. 244048 (MA). The current practice location address for Vidya Raju is 300 Ocean Ave, Revere, MA 02151-3675 and can be reached out via phone at 781-485-6350 and via fax at 781-485-6391.

Provider Profile Details

NPI Number
1699898809
Provider Name
Vidya Raju
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
300 Ocean Ave, Revere, MA 02151-3675
Phone Number
781-485-6350
Fax Number
781-485-6391
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
April 10, 2007
Last Update Date
March 19, 2026
Certification Date
March 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Ocean Ave
Revere, MA 02151-3675
City
Revere
Zip
02151-3675
Phone Number
781-485-6350
Fax Number
781-485-6391
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
300 Ocean Ave
Revere, MA 02151-3675
City
Revere
State
MA
Zip
02151-3675
Phone Number
781-485-6350
Fax Number
781-485-6391

License Information

License Number (1)
244048
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
244048
License State (2)
MA
Taxonomy (2)
Pediatrics · 208000000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vidya Raju, MD?

The NPI number of Vidya Raju, MD is 1699898809. It was assigned on April 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Vidya Raju, MD?

Vidya Raju, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 244048.

Where does Vidya Raju, MD practice?

The practice location is 300 Ocean Ave, Revere, MA 02151-3675. The office can be reached at 781-485-6350 (phone) or 781-485-6391 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699898809 directly on the NPPES registry website.

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