Provider Demographics
NPI:1528115961
Name:MADAN, RAGINI T (MD)
Entity type:Individual
Prefix:DR
First Name:RAGINI
Middle Name:T
Last Name:MADAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:120 HEALTHPLEX WAY
Mailing Address - Street 2:220
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-8403
Mailing Address - Country:US
Mailing Address - Phone:919-350-0550
Mailing Address - Fax:919-350-9822
Practice Address - Street 1:120 HEALTHPLEX WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502
Practice Address - Country:US
Practice Address - Phone:919-350-0550
Practice Address - Fax:919-350-9822
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9800950207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911660Medicaid
NC2253185AMedicare PIN
NCG79510Medicare UPIN