Provider Demographics
NPI:1730359431
Name:RASKIN, ELIZABETH RACHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:RACHAEL
Last Name:RASKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2335 STOCKTON BLVD., NAOB ROOM 6322
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817
Mailing Address - Country:US
Mailing Address - Phone:916-703-4472
Mailing Address - Fax:651-312-1570
Practice Address - Street 1:2335 STOCKTON BLVD., NAOB ROOM 6322
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-703-4472
Practice Address - Fax:651-312-1570
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC136552208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery