MEDICARE: RAKHI C. DIMINO MD

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
1	207V00000X	Obstetrics & Gynecology Physician	M0374	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8F23068	OTHER	TX	MEDICARE PTAN (PEARLAND LOCATION)

General Provider Information

NPI Number	:	1972518744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAKHI C. DIMINO MD

Provider Business Mailing Address
First Line	:	7400 FANNIN STREET
Second Line	:	SUITE 1050
City	:	HOUSTON
State	:	TX
Zip	:	77054-1933
Country	:	US
Telephone Number	:	713-795-1004
Fax Number	:	713-796-9485

Provider Business Practice Location Address
First Line	:	7400 FANNIN STREET
Second Line	:	SUITE 1050
City	:	HOUSTON
State	:	TX
Zip	:	77054-1933
Country	:	US
Telephone Number	:	713-795-1004
Fax Number	:	713-796-9485

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	01/08/2010

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Directions to “ RAKHI C. DIMINO MD” Practice Location

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