Provider Demographics
NPI:1609950450
Name:RAGHID, SAMINA (DO)
Entity Type:Individual
Prefix:
First Name:SAMINA
Middle Name:
Last Name:RAGHID
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 SCHENCK LN
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2216
Mailing Address - Country:US
Mailing Address - Phone:516-887-4311
Mailing Address - Fax:
Practice Address - Street 1:300 STUART AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1055
Practice Address - Country:US
Practice Address - Phone:516-887-8422
Practice Address - Fax:516-593-7728
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227623207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY227623OtherLICENSE
NY02376314Medicaid
NYH95838Medicare UPIN