Provider Demographics
NPI:1790187748
Name:ASMARO, RAGAD (MD)
Entity type:Individual
Prefix:DR
First Name:RAGAD
Middle Name:
Last Name:ASMARO
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 1:1380 COOLIDGE HWY STE 150
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-7058
Mailing Address - Country:US
Mailing Address - Phone:248-817-5264
Mailing Address - Fax:248-829-7752
Practice Address - Street 1:1380 COOLIDGE HWY STE 150
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7058
Practice Address - Country:US
Practice Address - Phone:248-817-5264
Practice Address - Fax:248-829-7752
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT207708207R00000X
MI4301113854207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine