Individual
NEAL E RAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Mailing address
91550 OVERSEAS HIGHWAY, SUITE 215, TAVERNIER, FL 33070-2141
(305) 852-9400
(305) 852-6457
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
89-90
NM
207RG0100X
Gastroenterology Physician
ME73295
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252372800
—
FL
01
—
41544
BLUE CROSS BLUE SHIELD
FL
01
—
850372521
CHAMPUS
FL
Enumeration date
06/02/2006
Last updated
11/27/2018
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