Raker, Charles Kay

Raker, Charles Kay is an individual health care provider with primary practice located at 1111 E Mcdowell Rd , Phoenix AZ 85006-2612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Raker, Charles Kay can be contacted via phone (602) 239-4322.

Contact Information

Primary practice address
1111 E Mcdowell Rd Phoenix AZ 85006-2612
Phone: (602) 239-4322
Fax: (602) 239-4271
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A94703 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A94703 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36971 Arizona
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 36971 Arizona

Profile Details

NPI number 1427091586
LBN Legal business name Raker, Charles Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 27th, 2008 - about 16 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 1427091586 NPPES
California Other 00A947030 MEDI CAL
California MEDICAID 218839 MEDI CAL

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