Raphael I Agada (NPI# 1205835725, PAC ID# 4587558499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1205835725 |
| PAC ID by PECOS | 4587558499 |
| Professional Enrollment ID | I20040211000893 |
| Full Name | Raphael I Agada |
| Address |
200 Medical Park Blvd Petersburg VA 23805-9274 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490067 | SOUTHSIDE REGIONAL MEDICAL CENTER |
| 490020 | JOHN RANDOLPH MEDICAL CENTER |
| 490092 | SOUTHAMPTON MEMORIAL HOSPITAL |
| 490097 | SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER |
| 490112 | CJW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3611 Boulevard, Colonial Heights, VA 23834-1344 | ||
| 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Street Address |
200 MEDICAL PARK BLVD |
| City | PETERSBURG |
| State | VA |
| Zip | 23805-9274 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir Modarres | Hospitalist | Emergency Medicine Associates Pa PC | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Carey Elder | Certified Registered Nurse Anesthetist (crna) | Ams Virginia Pllc | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| John L Ditto Jr. | Otolaryngology | Southside Physician Network LLC | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Dongyeon Peter Han | Urology | Southside Physician Network LLC | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Theopolis Gilliam Jr. | Gastroenterology | Southside Physician Network LLC | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Shawna J Perry | Emergency Medicine | Emergency Medicine Associates Pa PC | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Alexander K Girevendulis | Diagnostic Radiology | Radiology Associates of Richmond Inc | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Homayoon Akbari | Colorectal Surgery (proctology) | Southside Physician Network LLC | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Zvonko Spasic | Obstetrics/gynecology | Southside Physician Network LLC | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Nicole Michelle Kellner | Physician Assistant | Southside Physician Network LLC | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan E Langer | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Sujatha Yellinedi | Medical Oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Nishanth Sukumaran | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Shobha R Nalluri | Hematology/oncology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Yogesh K Gandhi | Hematology | Virginia Cancer Institute Incorporated | 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-0002 |
| Tanikka Mason | Clinical Social Worker | 2002 Wakefield Ave, Petersburg, VA 23805-2112 | |
| Joseph W Siko Jr. | Podiatry | 2020 Wakefield Ave, Petersburg, VA 23805-2112 | |
| Samuel W Person | Podiatry | 2020 Wakefield St, Petersburg, VA 23805-2112 | |
| Nadeem Faruqi | Cardiovascular Disease (cardiology) | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
| Edwan T Kibot | Nurse Practitioner | Dominion Cardiology PC | 2731 S Crater Rd, Petersburg, VA 23805-2403 |
| Find all physicians in zip 23805 | |||
| City | PETERSBURG |
| Zip Code | 23805 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PETERSBURG + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Raphael I Agada.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.