Provider Demographics
NPI:1952504441
Name:RIKHYE, SOMI (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SOMI
Middle Name:
Last Name:RIKHYE
Suffix:
Gender:M
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 1:251 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-1375
Mailing Address - Country:US
Mailing Address - Phone:301-533-4190
Mailing Address - Fax:301-533-1486
Practice Address - Street 1:251 N 4TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550
Practice Address - Country:US
Practice Address - Phone:301-533-4190
Practice Address - Fax:301-533-4186
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0012165207P00000X
MDD73097207R00000X
TN43789207R00000X, 208M00000X
VA0101265183207R00000X
WV30438207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD238247YCLSOtherMEDICARE PTAN
MDPENDINGMedicaid
WV3810018922Medicaid