MEDICARE: RAGHID KRAYEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	0401420012	VA

General Provider Information

NPI Number	:	1003753948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAGHID KRAYEM

Provider Business Mailing Address
First Line	:	11513 PINEDALE DR
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5586
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 COSBY VILLAGE RD
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-1939
Country	:	US
Telephone Number	:	804-570-1143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2026
Last Update Date	:	05/26/2026

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Directions to “ RAGHID KRAYEM ” Practice Location

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