Organization
COLON RECTAL SURGERY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL I RAKHMANINE M.D. (PHYSICIAN/OWNER)
(484) 788-0840
Entity
Organization
Contact information
Practice address
1255 S CEDAR CREST BLVD, SUITE 3900, ALLENTOWN, PA 18103-6256
(610) 402-1095
(610) 435-5003
Mailing address
1255 S. CEDAR CREST BLVD, SUITE 3900, ALLENTOWN, PA 18103-6256
(484) 788-0852
(610) 435-5003
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02352400
CAPITAL BLUE CROSS
PA
01
—
0827441000
KEYSTONE EAST
PA
01
—
1062660
AMERIHEALTH MERCY
PA
01
—
1514773
GATEWAY HEALTH PLAN
PA
01
—
152887
THREE RIVERS/UNISON
PA
01
—
235H
GEISINGER HEALTH PLAN
PA
01
—
619529
AETNA HMO
PA
01
—
796986
HIGHMARK BLUE SHIELD
PA
01
—
DA9831
RAILROAD MEDICARE
PA
Enumeration date
05/09/2006
Last updated
01/31/2019
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