Individual
JENNIFER M RAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11844 ROCK LANDING DR, SUITE B, NEWPORT NEWS, VA 23606
(757) 873-0161
(757) 873-0205
Mailing address
11844 ROCK LANDING DR, SUITE B, NEWPORT NEWS, VA 23606-4206
(757) 873-0161
(757) 873-0205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101251750
VA
207N00000X
Dermatology Physician
Primary
0101251750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116218BDK
VA MEDICARE NUMBER
VA
Enumeration date
07/14/2005
Last updated
11/27/2023
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