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NPI Code Detail

MEDICARE: DILARA RAKHMAN M.D.

MEDICARE: DILARA RAKHMAN M.D.
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
12080A0000XPediatric Adolescent Medicine Physician228753NY

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 : 1992760052
Entity Type Code : Individual
Provider Name (Legal Business Name) : DILARA RAKHMAN M.D.
Provider Business Mailing Address
First Line : 2704 GLENWOOD RD
Second Line : MARK B. LEW, MD, LLC
City : BROOKLYN
State : NY
Zip : 11210-2326
Country : US
Telephone Number : 718-859-6440
Fax Number : 718-434-0368
Provider Business Practice Location Address
First Line : 2704 GLENWOOD RD
Second Line : MARK B. LEW, MD, LLC
City : BROOKLYN
State : NY
Zip : 11210-2326
Country : US
Telephone Number : 718-859-6440
Fax Number : 718-434-0368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 02/28/2012

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