Provider Demographics
NPI:1518919869
Name:RAUKAR, NEHA P (MD)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:P
Last Name:RAUKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-284-2511
Mailing Address - Fax:401-854-2519
Practice Address - Street 1:200 1ST ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905
Practice Address - Country:US
Practice Address - Phone:507-284-2511
Practice Address - Fax:401-854-2519
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD12166207PS0010X, 207P00000X
MN64550207P00000X
PAMD426866207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI10/01/2009OtherBCBS
MA2124084Medicaid
RI7058856Medicaid
RI939025129OtherRI MEDICARE GROUP NUMBER
RI08/13/2009OtherNHPRI
RI04/15/2009OtherUNITED HEALTHCARE
RIP00349562OtherRAILROAD MEDICARE
RI007058856OtherMEDICARE
MA01/27/2009OtherTUFTS HEALTH PLAN
PAMD426866OtherLICENSE NUMBER
RINPIOther1518919869
RII64022Medicare UPIN