Diallo, Rakiya Engo

Diallo, Rakiya Engo is an sole proprietor health care provider with primary practice located at 3334 Broadway Blvd Suite 422, Garland TX 75043-1585. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Urgent Care, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is her primary health care specialty. Diallo, Rakiya Engo can be contacted via phone (972) 271-1156.

Contact Information

Primary practice address
3334 Broadway Blvd Suite 422 Garland TX 75043-1585
Phone: (972) 271-1156
Fax: (972) 271-1691
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X N4380 Texas
Ambulatory Health Care Facilities / Urgent Care 261QU0200X N4380 Texas
Ambulatory Health Care Facilities / Primary Care 261QP2300X N4380 Texas

Profile Details

NPI number 1063524049
LBN Legal business name Diallo, Rakiya Engo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Oct 23rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063524049 NPPES
Texas MEDICAID 2176448

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