Provider Demographics
NPI:1649289273
Name:CHARI, RAGINI (MD)
Entity type:Individual
Prefix:
First Name:RAGINI
Middle Name:
Last Name:CHARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 92ND ST
Mailing Address - Street 2:SUITE L1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3632
Mailing Address - Country:US
Mailing Address - Phone:718-491-9396
Mailing Address - Fax:718-833-3981
Practice Address - Street 1:670 92ND ST
Practice Address - Street 2:SUITE L1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3632
Practice Address - Country:US
Practice Address - Phone:718-491-9396
Practice Address - Fax:718-833-3981
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-141292207R00000X, 207RG0100X
NY204696207RG0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2308638OtherAETNA
11372OtherFIDELIS CARE
11258OtherELDERPLAN
1520740OtherCIGNA
204690OtherHIP OF NEW YORK
30N111OtherBLUE CHOICE ALL PLANS
310090201OtherHEALTH PLUS
362068428Other1199
362088428OtherANTHEM HEALTH
2499940OtherGHI
30N111OtherBLUE CROSS BLUE SHIELD
362080428OtherAMERICAN PROVIDER NETWORK
6536868OtherAETNA PPO POS
V000OtherHEALTH PLUS
362089426OtherHORIZON
IC8382OtherHEALTH NET
362080428OtherAMERIHEALTH
QN00028OtherMANAGED HEALTH CARE SYSTE
QN00028OtherMANAGED HEALTH CARE SYSTE