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NPI Code Detail

MEDICARE: KAREN D RAGLAND MD

MEDICARE: KAREN D RAGLAND MD
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
12085R0202XDiagnostic Radiology PhysicianG66526CA
22085P0229XPediatric Radiology PhysicianG66526CA
32085N0700XNeuroradiology PhysicianG66526CA
42471M2300XMammography Radiologic TechnologistG66526CA

General Provider Information

NPI Number : 1669454823
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN D RAGLAND MD
Provider Business Mailing Address
First Line : 17360 BROOKHURST ST
Second Line : ATTN: CREDENTIALING DEPARTMENT
City : FOUNTAIN VALLEY
State : CA
Zip : 92708-3720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2801 ATLANTIC AVE
Second Line : ATTN: RADIOLOGY DEPARTMENT
City : LONG BEACH
State : CA
Zip : 90806-1701
Country : US
Telephone Number : 562-933-1550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 03/21/2017

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