MEDICARE: DR. MELINDA L RAGINS M.D.

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	208000000X	Pediatrics Physician	A77392	CA

General Provider Information

NPI Number	:	1841235611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELINDA L RAGINS M.D.

Provider Business Mailing Address
First Line	:	27212 CALAROGA AVE
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94545-4339
Country	:	US
Telephone Number	:	510-785-5000
Fax Number	:	510-784-2502

Provider Business Practice Location Address
First Line	:	27212 CALAROGA AVE
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94545-4339
Country	:	US
Telephone Number	:	510-785-5000
Fax Number	:	510-784-2502

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

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	07/08/2007

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