Individual
RUKAN DACCAK
Active
Individual
RUKAN DACCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J8980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077AS
BCBSTX
TX
05
—
096904002
—
TX
01
—
181878301
MEDICAID PIN
TX
Enumeration date
06/20/2006
Last updated
05/25/2011
Update your record
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