MEDICARE: MRS. JAYATI RAKHIT MD

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
1	207RC0000X	Cardiovascular Disease Physician	35061435R	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174511505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAYATI RAKHIT MD

Provider Business Mailing Address
First Line	:	10850 PEARL RD
Second Line	:	STE D2
City	:	STRONGSVILLE
State	:	OH
Zip	:	44136-3305
Country	:	US
Telephone Number	:	440-572-5578
Fax Number	:	440-572-1919

Provider Business Practice Location Address
First Line	:	2322 E 22ND ST
Second Line	:	STE 305
City	:	CLEVELAND
State	:	OH
Zip	:	44115-3176
Country	:	US
Telephone Number	:	216-861-5747
Fax Number	:	216-861-5749

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	02/28/2012

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