Provider Demographics
NPI:1487616017
Name:RAIKER, ANILKUMAR N (MD)
Entity type:Individual
Prefix:DR
First Name:ANILKUMAR
Middle Name:N
Last Name:RAIKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6499 38TH AVE N
Mailing Address - Street 2:SUITE G1
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-1656
Mailing Address - Country:US
Mailing Address - Phone:727-381-3761
Mailing Address - Fax:727-347-9348
Practice Address - Street 1:6499 38TH AVE N
Practice Address - Street 2:SUITE G1
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1656
Practice Address - Country:US
Practice Address - Phone:727-381-3761
Practice Address - Fax:727-347-9348
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2017-02-20
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Provider Licenses
StateLicense IDTaxonomies
FLME0051314207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL055511800Medicaid
FL04451BMedicare PIN
FL055511800Medicaid
FL1487616017Medicare NSC