Provider Demographics
NPI:1053311134
Name:CHOKSHI, RAKESH PRAVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAKESH
Middle Name:PRAVIN
Last Name:CHOKSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3239
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-3239
Mailing Address - Country:US
Mailing Address - Phone:843-777-7092
Mailing Address - Fax:843-777-7102
Practice Address - Street 1:800 E CHEVES ST STE 480-B
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2650
Practice Address - Country:US
Practice Address - Phone:843-432-1880
Practice Address - Fax:843-432-1022
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21820207XS0117X, 207X00000X
NC200200662207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
89064FJOtherN.C. MEDICAID
NC89132FAMedicaid
SCT58791Medicaid
SCG97194Medicare UPIN
NC89132FAMedicaid
NC2012827Medicare PIN