Provider Demographics
NPI:1700904794
Name:POGGI, RAY G (MD)
Entity type:Individual
Prefix:DR
First Name:RAY
Middle Name:G
Last Name:POGGI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2041 BANCROFT WAY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1405
Mailing Address - Country:US
Mailing Address - Phone:510-644-3434
Mailing Address - Fax:510-649-1133
Practice Address - Street 1:2041 BANCROFT WAY
Practice Address - Street 2:SUITE 307
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1405
Practice Address - Country:US
Practice Address - Phone:510-644-3434
Practice Address - Fax:510-649-1133
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAC347642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry