Provider Demographics
NPI:1164632402
Name:RAKESH, HULIMANGALA RAJASEKHARAREDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:HULIMANGALA
Middle Name:RAJASEKHARAREDDY
Last Name:RAKESH
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 1:623 CIDERBERRY DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-6831
Mailing Address - Country:US
Mailing Address - Phone:412-614-0797
Mailing Address - Fax:
Practice Address - Street 1:623 CIDERBERRY DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-6831
Practice Address - Country:US
Practice Address - Phone:412-614-0797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083141207L00000X
PAMD435081207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology