MEDICARE: RAKESH NO MIDDLE NAME PRASAD 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	207R00000X	Internal Medicine Physician	19543	OK

General Provider Information

NPI Number	:	1487639746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAKESH NO MIDDLE NAME PRASAD M.D.

Provider Business Mailing Address
First Line	:	3330 NW 56TH ST
Second Line	:	SUITE 208
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4479
Country	:	US
Telephone Number	:	405-604-0688
Fax Number	:	405-604-0689

Provider Business Practice Location Address
First Line	:	3330 NW 56TH ST
Second Line	:	SUITE 208
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4479
Country	:	US
Telephone Number	:	405-604-0688
Fax Number	:	405-604-0689

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

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	03/19/2026

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