MEDICARE: RASIKA DHEKNE M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	E6766	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	220018724	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	220009431	OTHER	TX	RAILROAD M/C-NEPG

General Provider Information

NPI Number	:	1255335642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASIKA DHEKNE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 421007
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77242-1007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22999 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-4438
Country	:	US
Telephone Number	:	713-481-3541
Fax Number	:	713-432-0221

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/19/2009

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Directions to “ RASIKA DHEKNE M.D.” Practice Location

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