Provider Demographics
NPI:1104098086
Name:MITRI, RAGHEED K (MD)
Entity type:Individual
Prefix:DR
First Name:RAGHEED
Middle Name:K
Last Name:MITRI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1472 MARTELLO STREET
Mailing Address - Street 2:APT 523
Mailing Address - City:HALIFAX
Mailing Address - State:NOVA SCOTIA
Mailing Address - Zip Code:B3H 4K8
Mailing Address - Country:CA
Mailing Address - Phone:902-209-3279
Mailing Address - Fax:
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:SUITE 3100
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-6533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1038562085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology