Provider Demographics
NPI:1205938107
Name:RAKKAR, STEVE SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:SINGH
Last Name:RAKKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SUDEEP
Other - Middle Name:SINGH
Other - Last Name:RAKKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2105 W SPRING CREEK PKWY
Mailing Address - Street 2:SUITE A300
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023
Mailing Address - Country:US
Mailing Address - Phone:972-208-2900
Mailing Address - Fax:972-491-6750
Practice Address - Street 1:2105 W SPRING CREEK PKWY
Practice Address - Street 2:SUITE A300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023
Practice Address - Country:US
Practice Address - Phone:972-208-2900
Practice Address - Fax:972-491-6750
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5511207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B25758Medicare UPIN
TXTXB143932Medicare PIN
TXTXB143933Medicare PIN
TXTXB143934Medicare PIN