Provider Demographics
NPI:1356309751
Name:CURTIS A RASKIN MD INC
Entity Type:Organization
Organization Name:CURTIS A RASKIN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:RASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD FAAD
Authorized Official - Phone:925-687-8882
Mailing Address - Street 1:2700 GRANT ST
Mailing Address - Street 2:STE 310
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2279
Mailing Address - Country:US
Mailing Address - Phone:925-687-8882
Mailing Address - Fax:925-687-7261
Practice Address - Street 1:2700 GRANT ST
Practice Address - Street 2:STE 310
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2279
Practice Address - Country:US
Practice Address - Phone:925-687-8882
Practice Address - Fax:925-687-7261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG084425207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G66881Medicare UPIN
00G844250Medicare ID - Type Unspecified