Provider Demographics
NPI:1275522088
Name:ASHIS K RAKHIT MD INC
Entity Type:Organization
Organization Name:ASHIS K RAKHIT MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAKHIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-572-5578
Mailing Address - Street 1:10850 PEARL RD
Mailing Address - Street 2:# D2
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-3305
Mailing Address - Country:US
Mailing Address - Phone:440-572-5578
Mailing Address - Fax:440-572-1919
Practice Address - Street 1:10850 PEARL RD
Practice Address - Street 2:# D2
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-3305
Practice Address - Country:US
Practice Address - Phone:440-572-5578
Practice Address - Fax:440-572-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE65873Medicare UPIN