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NPI Profile for Dr SEGUN M RASAKI in INDIANAPOLIS, IN.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1790881605 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 09/16/2006 | |
| Last updated | 02/23/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SEGUN M RASAKI
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SEGUN M RASAKI, MD