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NPI Code Detail

MEDICARE: RAINIER RAKHAR PA-C

MEDICARE: RAINIER RAKHAR PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA9102501FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376648519
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAINIER RAKHAR PA-C
Provider Business Mailing Address
First Line : 738 CHAUCER CIR
Second Line :
City : FORT MILL
State : SC
Zip : 29708-6590
Country : US
Telephone Number : 786-261-8725
Fax Number :
Provider Business Practice Location Address
First Line : 3506 W TYVOLA RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-7201
Country : US
Telephone Number : 704-329-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 05/11/2022

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Directions to “ RAINIER RAKHAR PA-C” Practice Location

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