Individual
ARIWAN RAKVIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-9410
(806) 743-3150
(806) 743-3168
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-3150
(806) 743-3168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M5456
TX
207RG0100X
Gastroenterology Physician
Primary
M5456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186715201
—
TX
Enumeration date
05/17/2006
Last updated
03/10/2016
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