| Raghuraj Singh Raghuwanshi, MD | |
|
400 Health Park Blvd, St Augustine, FL 32086-5784 | |
| (904) 819-5155 | |
| Not Available |
| Full Name | Raghuraj Singh Raghuwanshi |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 44 Years |
| Location | 400 Health Park Blvd, St Augustine, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659475275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME84004 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flagler Hospital | Saint augustine, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Pathology Associates Pc | 5890781371 | 45 |
| Entity Name | Southeastern Pathology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992963268 PECOS PAC ID: 5890781371 Enrollment ID: O20130606000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Raghuraj Singh Raghuwanshi, MD Po Box 3123, St Augustine, FL 32085-3123 Ph: () - | Raghuraj Singh Raghuwanshi, MD 400 Health Park Blvd, St Augustine, FL 32086-5784 Ph: (904) 819-5155 |
Lin Li, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-824-4990 Fax: 904-824-2226 | |
Maressa T Pollen, Pathology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4363 | |
Yanet Pantaleon, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4363 Fax: 904-819-4927 | |
Dr. Ioan Corneliu Cucoranu, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 559 W Twincourt Trl Unit 604a, St Augustine, FL 32095 Phone: 904-551-9949 |