Provider Demographics
NPI:1689677643
Name:ANAND, RAKESH TARLOK (MD)
Entity Type:Individual
Prefix:DR
First Name:RAKESH
Middle Name:TARLOK
Last Name:ANAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2719 NEUSE BLVD
Mailing Address - Street 2:SUITE B & C
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2852
Mailing Address - Country:US
Mailing Address - Phone:252-633-6117
Mailing Address - Fax:252-633-2644
Practice Address - Street 1:2719 NEUSE BLVD
Practice Address - Street 2:SUITE B & C
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2852
Practice Address - Country:US
Practice Address - Phone:252-633-6117
Practice Address - Fax:252-633-2644
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC31762207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7911085Medicaid
NC2143488Medicare ID - Type Unspecified
NCF06709Medicare UPIN