Basic Information
| Provider Information | |||||||||
| NPI: | 1730359431 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RASKIN | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | RACHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2335 STOCKTON BLVD., NAOB ROOM 6322 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167034472 | ||||||||
| FaxNumber: | 6513121570 | ||||||||
| Practice Location | |||||||||
| Address1: | 2335 STOCKTON BLVD., NAOB ROOM 6322 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167034472 | ||||||||
| FaxNumber: | 6513121570 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2008 | ||||||||
| LastUpdateDate: | 08/27/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | C136552 | CA | N | Allopathic & Osteopathic Physicians | Surgery | 208C00000X | C136552 | CA | Y | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery |
No ID Information.