Provider Demographics
NPI:1972518744
Name:DIMINO, RAKHI C (MD)
Entity Type:Individual
Prefix:
First Name:RAKHI
Middle Name:C
Last Name:DIMINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAKHI
Other - Middle Name:
Other - Last Name:CHAUDHURI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7400 FANNIN STREET
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1933
Mailing Address - Country:US
Mailing Address - Phone:713-795-1004
Mailing Address - Fax:713-796-9485
Practice Address - Street 1:7400 FANNIN STREET
Practice Address - Street 2:SUITE 1050
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1933
Practice Address - Country:US
Practice Address - Phone:713-795-1004
Practice Address - Fax:713-796-9485
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0374207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F23068OtherMEDICARE PTAN (PEARLAND LOCATION)
TX8F23068OtherMEDICARE PTAN (PEARLAND LOCATION)