Provider Demographics
NPI:1114071362
Name:RAKSIS, KAREN RACHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:RACHEL
Last Name:RAKSIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2101 E JEFFERSON ST
Mailing Address - Street 2:KAISER PERMANENTE MEDICARE ENROLLMENT
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-2424
Mailing Address - Fax:
Practice Address - Street 1:12201 PLUM ORCHARD DR
Practice Address - Street 2:KAISER PERMANENTE SILVER SPRING MEDICAL CENTER
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7803
Practice Address - Country:US
Practice Address - Phone:301-572-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2022-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD037397208000000X
VA0101249444208000000X
MDD0066893208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH67727Medicare UPIN