Individual
SUSANNE RAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
705 RILEY HOSPITAL DR, ROC 4340, INDIANAPOLIS, IN 46202-5109
(317) 944-5611
(317) 944-3107
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
01045089
IN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME137616
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200218020
—
IN
Enumeration date
10/02/2006
Last updated
09/27/2018
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