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General NPI Number Information
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NPI Number | 1538586896
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Entity Type | Individual
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Provider Name | ILAY RAKHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 890 W FARIS RD STE 510
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City | GREENVILLE
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State | SC
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Zip | 29605-4286
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Country | US
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Telephone | 864-455-1770
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Fax | 864-455-1775
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-695-6697
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 291075
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 291075
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 93951
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD470536
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License Number State | PA
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