Provider Demographics
NPI:1851552921
Name:RUBINOVA, RAKHIL (DO)
Entity Type:Individual
Prefix:
First Name:RAKHIL
Middle Name:
Last Name:RUBINOVA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6271 WOODHAVEN BLVD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2832
Mailing Address - Country:US
Mailing Address - Phone:347-776-0504
Mailing Address - Fax:718-335-9001
Practice Address - Street 1:6271 WOODHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2832
Practice Address - Country:US
Practice Address - Phone:347-776-0504
Practice Address - Fax:718-335-9001
Is Sole Proprietor?:No
Enumeration Date:2008-06-22
Last Update Date:2020-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253788207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine