Great Lakes Plastic Reconstructive & Hand Surgery P C
NPI 1336335785ActiveOrganization· Plastic Surgery· Portage, MI
Plastic Surgery in Portage, Michigan, registered in NPPES in September 2007. The authorized official on file is Raghuram G. Elluru, Managing Partner.
Overview
| NPI | 1336335785 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2007 |
| Last updated in NPPES | Apr 17, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | RE07166 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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