Healthcare Provider Details

I. General information

NPI: 1295714897
Provider Name (Legal Business Name): DONALD P RAKEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 02/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 MAIN ST
MILFORD OH
45150-5049
US

IV. Provider business mailing address

905 MAIN ST
MILFORD OH
45150-5049
US

V. Phone/Fax

Practice location:
  • Phone: 513-248-1210
  • Fax: 513-248-3065
Mailing address:
  • Phone: 513-248-1210
  • Fax: 513-248-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35-039602
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: