Individual
DR. HARMANPREET BOBBY RAKHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 S NAPPANEE ST, ELKHART, IN 46514-2066
(574) 296-3200
(574) 296-3921
Mailing address
PO BOX 2968, ELKHART, IN 46515-2968
(574) 296-3200
(574) 296-3921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01059837A
IN
207R00000X
Internal Medicine Physician
Primary
01059837A
IN
207R00000X
Internal Medicine Physician
036-112543
IL
208M00000X
Hospitalist Physician
01059837A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357055
ANTHEM
IN
05
—
200506720
—
IN
Enumeration date
04/05/2006
Last updated
10/01/2012
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