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

Raghu Nandan Kanumalla, DO

Individual provider Family Medicine Physician · NPI 1497313696

Raghu Nandan Kanumalla, DO is a Family Practice in Bangor, Maine. Qualified in 2019, 7 years ago. Practices with Cora Health Services Inc, a 1,144-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

895 Union St Ste 12
Bangor, ME 04401-3054
Phone: (207) 973-7979
Fax: (207) 947-9579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO3417 (ME)

Record details

NPI number1497313696
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 3, 2019
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cora Health Services Inc — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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