Provider Demographics
NPI:1861402455
Name:RISHI, ALKA S (MD)
Entity type:Individual
Prefix:DR
First Name:ALKA
Middle Name:S
Last Name:RISHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2207 S CLEAR CREEK RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-4132
Mailing Address - Country:US
Mailing Address - Phone:254-634-0754
Mailing Address - Fax:254-634-1987
Practice Address - Street 1:2207 S CLEAR CREEK RD
Practice Address - Street 2:SUITE 303
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-4132
Practice Address - Country:US
Practice Address - Phone:254-634-0754
Practice Address - Fax:254-634-1987
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ4993207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1441271-01Medicaid
TXJ4993OtherSTATE LICENSE #
0088GUOtherBCBS
TXJ4993OtherSTATE LICENSE #
TX1441271-01Medicaid