Provider Demographics
NPI:1356652416
Name:SHELIYA, RAKESH RAGHAVBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAKESH
Middle Name:RAGHAVBHAI
Last Name:SHELIYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:304 COLE CANYON CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8372
Mailing Address - Country:US
Mailing Address - Phone:919-656-6690
Mailing Address - Fax:919-803-3354
Practice Address - Street 1:301 KEISLER DRIVE
Practice Address - Street 2:UNIT A
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518
Practice Address - Country:US
Practice Address - Phone:919-803-3316
Practice Address - Fax:919-803-3354
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-00728207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5917164Medicaid
NCNC1599A717Medicare PIN