Shah, Rakesh Rasiklal

Shah, Rakesh Rasiklal is an sole proprietor health care provider with primary practice located at 4010 Oak Forest Circle , Marietta GA 30062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shah, Rakesh Rasiklal can be contacted via phone (404) 697-5625.

Contact Information

Primary practice address
4010 Oak Forest Circle Marietta GA 30062
Fax: (888) 669-9073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36761 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2016-0649 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 056220 Georgia

Profile Details

NPI number 1063414522
LBN Legal business name Shah, Rakesh Rasiklal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Nov 19th, 2018 - about 6 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 1063414522 NPPES
Tennessee Other 110234591 RAILROAD MEDICARE

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