Provider Demographics
NPI:1376532283
Name:RAKHIT, ASHIS K (MD)
Entity Type:Individual
Prefix:
First Name:ASHIS
Middle Name:K
Last Name:RAKHIT
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 1:10850 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
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35060749R207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0814426Medicaid
OHRA0682019Medicare ID - Type Unspecified
E65873Medicare UPIN