NPI 1114096161 · live from the CMS NPI Registry
Andres L. Rago MD PC
Family Medicine in Keystone, WV. National Provider Identifier 1114096161, active.
NPI record
| NPI | 1114096161 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 135 Main Street, Keystone, WV 24852 |
| Practice phone | 304-862-4611 |
| Mailing address | Hc 52 Box 135, Keystone, WV 24852 |
| Enumerated | November 6, 2006 |
| Last updated | March 11, 2008 |
| Authorized official | Andres Rago, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 11441 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.