Provider Demographics
NPI:1699882696
Name:SAINI, RAKESH K (MD)
Entity type:Individual
Prefix:MR
First Name:RAKESH
Middle Name:K
Last Name:SAINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3600 S COOPER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3406
Mailing Address - Country:US
Mailing Address - Phone:817-419-6200
Mailing Address - Fax:817-419-6201
Practice Address - Street 1:3600 S COOPER ST STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3406
Practice Address - Country:US
Practice Address - Phone:817-419-6200
Practice Address - Fax:817-419-6201
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5237207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096628502Medicaid
110151524OtherRAILROAD MCR
TX0966285-02Medicaid
TX0043CAMedicare UPIN
F75249Medicare UPIN
TX096628502Medicaid