Provider Demographics
NPI:1588193361
Name:RAKHMANKULOVA, MALIKA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:MALIKA
Middle Name:
Last Name:RAKHMANKULOVA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6123 FARRINGTON RD APT F5
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9471
Mailing Address - Country:US
Mailing Address - Phone:646-708-2042
Mailing Address - Fax:
Practice Address - Street 1:4001 BURNETT WOMACK BUILDING CLB
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-4320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC227149390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program