Healthcare Provider Details

I. General information

NPI: 1801234232
Provider Name (Legal Business Name): ROBERT RAKOSI III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2013
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10001 S EASTERN AVE STE 310
HENDERSON NV
89052-3908
US

IV. Provider business mailing address

10001 S EASTERN AVE STE 310
HENDERSON NV
89052-3908
US

V. Phone/Fax

Practice location:
  • Phone: 702-914-2420
  • Fax: 702-914-6653
Mailing address:
  • Phone: 702-914-2420
  • Fax: 702-914-6653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101257887
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number22466
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number22466
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: