Provider Demographics
NPI:1710190665
Name:PAI, RAKESH KOCHIKAR (MD)
Entity type:Individual
Prefix:DR
First Name:RAKESH
Middle Name:KOCHIKAR
Last Name:PAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30084
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89520-3084
Mailing Address - Country:US
Mailing Address - Phone:775-323-6700
Mailing Address - Fax:775-323-3008
Practice Address - Street 1:343 ELM ST
Practice Address - Street 2:SUITE 400
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4522
Practice Address - Country:US
Practice Address - Phone:775-323-6700
Practice Address - Fax:775-323-3008
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12302207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVNV5853OtherBLUE CROSS BLUE SHIELD
I13016Medicare UPIN
NVP00423079Medicare PIN
NVV104302Medicare PIN