Kevin M Rak in Portage - Diagnostic Radiology

Kevin M Rak - NPI 1285643957

Kevin M Rak is a Diagnostic Radiology in Portage, Wisconsin. Kevin M Rak practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kevin M Rak is 1285643957. The last update date is 2007-07-08.

Kevin M Rak's current location address is 2817 New Pinery Rd, Portage, Wisconsin. You can contact this provider via phone number 6087424131 and fax number 6088262710. The mailing address for Kevin M Rak is 2817 New Pinery Rd, Portage, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin M Rak
Address 2817 New Pinery Rd, Portage, Wisconsin
Phone Number 6087424131
Fax Number 6088262710
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1285643957
Provider Enumeration Date 2006-08-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2817 New Pinery Rd
City Portage
State Wisconsin (WI)
Post Code 539019257
Phone Number 6087424131
Fax Number 6088262710

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 36007
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32117500 WI --

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FAQs about Kevin M Rak

What is the unique 10-digit identifier code issued to Kevin M Rak by the Centers for Medicare & Medicaid Services?

The Kevin M Rak has been assigned the NPI (National Provider Identifier) 1285643957 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Kevin M Rak located?

The Kevin M Rak is located at 2817 New Pinery Rd, Portage, WI 539019257.

What is the Kevin M Rak's specialty and taxonomy code?

The Kevin M Rak's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

When did Kevin M Rak receive its 1285643957 assignment?

The Kevin M Rak was assigned its 1285643957 on 2006-08-05, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Kevin M Rak most recently updated or revised?

The information pertaining to Kevin M Rak, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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