Individual
RAGAI MITRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 HEALTH CENTER DR STE 106, MATTOON, IL 61938-9253
(217) 238-4495
(217) 238-3741
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-085900
IL
207R00000X
Internal Medicine Physician
036-085900
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036-085900
IL
Other
Enumeration date
08/22/2006
Last updated
09/26/2018
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