Provider Demographics
NPI:1669818308
Name:RAGHAW, SATYENDRA PRATAP SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:SATYENDRA
Middle Name:PRATAP SINGH
Last Name:RAGHAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-0130
Mailing Address - Country:US
Mailing Address - Phone:352-867-9601
Mailing Address - Fax:
Practice Address - Street 1:1805 SE LAKE WEIR AVE STE B
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5426
Practice Address - Country:US
Practice Address - Phone:520-629-1814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL128885208M00000X, 207R00000X
AZ51932208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist