Provider Demographics
NPI:1336308220
Name:RAGAB, SHERIF ALY (MBBCH)
Entity Type:Individual
Prefix:
First Name:SHERIF
Middle Name:ALY
Last Name:RAGAB
Suffix:
Gender:M
Credentials:MBBCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7301 E FRONTAGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1654
Mailing Address - Country:US
Mailing Address - Phone:913-789-1900
Mailing Address - Fax:913-789-1901
Practice Address - Street 1:7301 E FRONTAGE RD STE 100
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-1654
Practice Address - Country:US
Practice Address - Phone:913-789-1900
Practice Address - Fax:913-789-1901
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ46712084P0800X
NY2764292084P0800X
KS391672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry