Agada, Raphael

Agada, Raphael is an individual health care provider with primary practice located at 801 S Adams St , Petersburg VA 23803-5149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Agada, Raphael can be contacted via phone (804) 862-5991.

Contact Information

Primary practice address
801 S Adams St Petersburg VA 23803-5149
Phone: (804) 862-5991
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101840585 Virginia

Profile Details

NPI number 1205835725
LBN Legal business name Agada, Raphael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205835725 NPPES
Virginia MEDICAID 1205835725
Virginia Other 1205835725

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