| Ragoor Family Practice Llc | |
|
4217 Northern Pike Monroeville PA 15146-2713 | |
| (412) 699-5993 | |
| (412) 699-1430 |
| Full Name | Ragoor Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4217 Northern Pike, Monroeville, Pennsylvania |
| Authorized Official Name and Position | Balakrishna Ragoor (OWNER) |
| Authorized Official Contact | 4124691111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ragoor Family Practice Llc 4217 Northern Pike Monroeville PA 15146-2713 Ph: (412) 699-5993 | Ragoor Family Practice Llc 4217 Northern Pike Monroeville PA 15146-2713 Ph: (412) 699-5993 |
| NPI Number | 1700564929 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 9436513363 |
|---|---|
| Medicare Enrollment ID | O20230912000844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700564929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Balakrishna R Ragoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568436152 PECOS PAC ID: 7517865132 Enrollment ID: I20031222000003 |
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