Provider Demographics
NPI:1295843001
Name:DIXIT, RAKESH KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:RAKESH
Middle Name:KUMAR
Last Name:DIXIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 DANIEL BURNHAM COURT
Mailing Address - Street 2:SUITE 365C
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:415-409-7364
Mailing Address - Fax:415-409-0735
Practice Address - Street 1:1 DANIEL BURNHAM COURT
Practice Address - Street 2:SUITE 365C
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-409-7364
Practice Address - Fax:415-409-0735
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93096174400000X
CA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist