Provider Demographics
NPI:1154358034
Name:RASKIN, CURTIS ALLEN (MD PHD FAAD)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:ALLEN
Last Name:RASKIN
Suffix:
Gender:M
Credentials:MD PHD FAAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 GRANT ST
Mailing Address - Street 2:STE 309
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2279
Mailing Address - Country:US
Mailing Address - Phone:925-687-8882
Mailing Address - Fax:925-687-7261
Practice Address - Street 1:2700 GRANT ST
Practice Address - Street 2:STE 309
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2279
Practice Address - Country:US
Practice Address - Phone:925-687-8882
Practice Address - Fax:925-687-7261
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG084425207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
070012366OtherMEDICARE RAILROAD
G66881Medicare UPIN
070012366OtherMEDICARE RAILROAD