Healthcare Provider Details

I. General information

NPI: 1336729037
Provider Name (Legal Business Name): EVGENIYA RAKITINA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 E 32ND ST FL 9
NEW YORK NY
10016-5563
US

IV. Provider business mailing address

38 E 32ND ST FL 9
NEW YORK NY
10016-5563
US

V. Phone/Fax

Practice location:
  • Phone: 212-696-5624
  • Fax: 212-725-3660
Mailing address:
  • Phone: 212-696-5624
  • Fax: 212-725-3660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number319051
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number319051
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number1020673
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: