Provider Demographics
NPI:1508812843
Name:RAGI, KASHMIRA SINGH (MD)
Entity Type:Individual
Prefix:
First Name:KASHMIRA
Middle Name:SINGH
Last Name:RAGI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:740 MOWRY AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-4117
Mailing Address - Country:US
Mailing Address - Phone:510-790-0530
Mailing Address - Fax:510-494-9547
Practice Address - Street 1:740 MOWRY AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-4117
Practice Address - Country:US
Practice Address - Phone:510-790-0530
Practice Address - Fax:510-494-9547
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA35460207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0004D6OtherBLUE SHIELD
CA14851800OtherCIGNA
CAOPB105OtherBLUE CROSS OF CALIFORNIA
CA13720OtherHEALTHNET
CA00A354600Medicaid
CA55811OtherAETNA
CA0052450072OtherPACIFICARE
CA000575600OtherUNITED HEALTH
CA0052450072OtherPACIFICARE
CA00A354600Medicaid