Healthcare Provider Details

I. General information

NPI: 1306527254
Provider Name (Legal Business Name): RAGA DILIP MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

525 E 68TH ST
NEW YORK NY
10065-4870
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-5330
  • Fax: 212-746-8720
Mailing address:
  • Phone: 212-746-5330
  • Fax: 212-746-8720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number341880-0
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: