Individual
MICHAEL J. RAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
(601) 579-5212
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L9436
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
L9436
TX
207RP1001X
Pulmonary Disease Physician
Primary
21334
MS
207RP1001X
Pulmonary Disease Physician
L9436
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06178710
—
MS
05
—
167916901
—
TX
01
—
7044329
AETNA
MS
01
—
P00896973
RAILROAD MEDICARE
MS
Enumeration date
03/29/2006
Last updated
08/03/2020
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