Provider Demographics
NPI:1700901303
Name:SHETH, RAKHEE M (DO)
Entity type:Individual
Prefix:
First Name:RAKHEE
Middle Name:M
Last Name:SHETH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:RAKHEE
Other - Middle Name:
Other - Last Name:PARIKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2050 PFINGSTEN RD STE 330
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1300
Mailing Address - Country:US
Mailing Address - Phone:847-998-4100
Mailing Address - Fax:
Practice Address - Street 1:2050 PFINGSTEN RD STE 330
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1300
Practice Address - Country:US
Practice Address - Phone:847-998-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50677-021207Q00000X
IL036-115974207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-115974Medicaid
WI43543600Medicaid
WIFS0045206OtherDEA
WIFS0045206OtherDEA
IL036-115974Medicaid
WI43543600Medicaid