Individual
DR. ANDREW A. RAGULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
967 CEDAR LAKE RD, BILOXI, MS 39532-2128
(228) 205-6814
(228) 392-0864
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MS14846
MS
208D00000X
General Practice Physician
Primary
14846
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118653
—
MS
05
—
009926505
—
AL
01
—
646000515
BLUE CROSS OF MS
—
01
—
930117385
MEDICARE RAILROAD
—
Enumeration date
01/17/2007
Last updated
12/07/2020
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