What type of organization is Great Lakes Plastic Reconstructive & Hand Surgery P C?

Great Lakes Plastic Reconstructive & Hand Surgery P C is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).

What is Great Lakes Plastic Reconstructive & Hand Surgery P C's phone number?

The practice phone number listed in the NPPES registry for Great Lakes Plastic Reconstructive & Hand Surgery P C is (269) 329-2900.

Who is the authorized official for Great Lakes Plastic Reconstructive & Hand Surgery P C?

The authorized official listed on Great Lakes Plastic Reconstructive & Hand Surgery P C's NPPES record is Raghuram Elluru, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Great Lakes Plastic Reconstructive & Hand Surgery P C's NPI active?

Yes — Great Lakes Plastic Reconstructive & Hand Surgery P C's NPI (1336335785) is active in the NPPES registry as of the last update on 2013-04-17.

OrganizationActive

Great Lakes Plastic Reconstructive & Hand Surgery P C

NPI 1336335785 · Plastic Surgery Physician · Portage, MI

Great Lakes Plastic Reconstructive & Hand Surgery P C is a Plastic Surgery Physician organization in Portage, MI (NPI 1336335785).

Provider details

NPI number: 1336335785
Entity type: Organization
Primary specialty: Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Raghuram Elluru, Managing Partner(269) 329-2900
License: RE07166 (MI)

Practice location

7971 Moorsbridge Rd

Portage, MI 49024-4075

Phone: (269) 329-2900

Fax: (269) 329-1408

Street-level locationGet directions

More MI providers

Mailing address

7971 Moorsbridge Rd

Portage, MI 49024-4075

Specialties & taxonomies

Plastic Surgery PhysicianPrimary208200000XLicense RE07166 (MI)
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Doing business as: Great Lakes Plastic and Hand Surgery

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2007-09-19
Last updated: 2013-04-17

Frequently asked questions

What is Great Lakes Plastic Reconstructive & Hand Surgery P C's NPI number?: Great Lakes Plastic Reconstructive & Hand Surgery P C's National Provider Identifier (NPI) is 1336335785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Great Lakes Plastic Reconstructive & Hand Surgery P C?: Great Lakes Plastic Reconstructive & Hand Surgery P C is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
Where is Great Lakes Plastic Reconstructive & Hand Surgery P C located?: Great Lakes Plastic Reconstructive & Hand Surgery P C's practice location on file with NPPES is 7971 Moorsbridge Rd, Portage, MI 49024-4075.
What is Great Lakes Plastic Reconstructive & Hand Surgery P C's phone number?: The practice phone number listed in the NPPES registry for Great Lakes Plastic Reconstructive & Hand Surgery P C is (269) 329-2900.
Who is the authorized official for Great Lakes Plastic Reconstructive & Hand Surgery P C?: The authorized official listed on Great Lakes Plastic Reconstructive & Hand Surgery P C's NPPES record is Raghuram Elluru, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Great Lakes Plastic Reconstructive & Hand Surgery P C's NPI active?: Yes — Great Lakes Plastic Reconstructive & Hand Surgery P C's NPI (1336335785) is active in the NPPES registry as of the last update on 2013-04-17.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions