Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ganesh Venkataraman Raj, MDPHD

Individual provider Urology Physician · NPI 1790882488

Ganesh Venkataraman Raj, MDPHD is an Urology in Victoria, Texas. Graduated from Jefferson Medical College of Thomas Jefferson University in 1997, 29 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
29
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
TX
In the registry since
2006

Practice location Address checks out

605 E San Antonio St Ste 509E
Victoria, TX 77901-6079
Phone: (361) 573-6351
Fax: (361) 575-6455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence N3259 (TX)

Record details

NPI number1790882488
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedSeptember 17, 2006
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1997 (29 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Victoria