Provider Demographics
NPI:1548228828
Name:RIKHYE, RAKESH (MD)
Entity Type:Individual
Prefix:
First Name:RAKESH
Middle Name:
Last Name:RIKHYE
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 1:202 JAMES COLEMAN DR STE C
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-3111
Mailing Address - Country:US
Mailing Address - Phone:361-576-2222
Mailing Address - Fax:361-579-4925
Practice Address - Street 1:202 JAMES COLEMAN DR STE C
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3111
Practice Address - Country:US
Practice Address - Phone:361-576-2222
Practice Address - Fax:361-579-4925
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1175207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP089M3282Medicaid
TX8B7569OtherBLUE CROSS
TX8J2012OtherBCBS
TX137989314Medicaid
TX4314156OtherAETNA
TX89M328Medicare PIN
TX990015033Medicare PIN
TX4314156OtherAETNA
TX8B7569OtherBLUE CROSS