Provider Demographics
NPI:1518935444
Name:RAAGAS, MANUEL S (MD)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:S
Last Name:RAAGAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:88 E NEWTON ST
Mailing Address - Street 2:DEPT RADIOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2658
Mailing Address - Country:US
Mailing Address - Phone:617-638-6610
Mailing Address - Fax:617-638-6616
Practice Address - Street 1:88 E NEWTON ST
Practice Address - Street 2:DEPT RADIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2658
Practice Address - Country:US
Practice Address - Phone:617-638-6610
Practice Address - Fax:617-638-6616
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA605402085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ07841Medicare ID - Type Unspecified
MAA14278Medicare UPIN