Provider Demographics
NPI:1598936023
Name:RAGAA Z ISKAROUS MD INC.
Entity Type:Organization
Organization Name:RAGAA Z ISKAROUS MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAGAA
Authorized Official - Middle Name:ZAKHER
Authorized Official - Last Name:ISKAROUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-869-1038
Mailing Address - Street 1:11003 LAKEWOOD BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3876
Mailing Address - Country:US
Mailing Address - Phone:562-869-1038
Mailing Address - Fax:
Practice Address - Street 1:11003 LAKEWOOD BLVD STE 201
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3876
Practice Address - Country:US
Practice Address - Phone:562-869-1038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45155207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty