Jack A Ragheb, M.D., PH.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

D0041560 Issued in MD

Practice address

10 Center Dr
MSC-1857
Bethesda, MD 20892-0001

Phone

(301) 435-4566

NPI assigned

Jun 3, 2009

Last updated

Jun 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1932335064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11702 IBSEN DR",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523724",
            "telephone_number": "301-435-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "address_2": "MSC-1857",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-435-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHEB",
        "first_name": "JACK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0041560",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0041560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartholomew Radolinski, M.D.
• Jason Scott Radowsky, MD
• Mark Raffeld
• Emily Rose Raffetto, MD
• Christopher S Raffo, MD
• Christopher Ragsdale, LCSW,
• Fazlah Rahaman
• Sandeep Rahangdale, M.D.
• Amanda Rahimi, PH.D.
• Iris Rahman

• Allergy & Immunology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Allergy & Immunology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.