GARY PAIGE RAKES MD

Allergy and Immunology

Charlottesville, Virginia

Provider NPI: 1245277037

Provider Information:
 GARY PAIGE RAKES MD


Practice Location:
1415 ROLKIN CT SUITE 102 CHARLOTTESVILLE, VA 22911 US
Tel: 434-951-2191  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	VA	0101050099

Other Provider Identifiers:

Issuer	Number	State	Type
MEDICARE PTAN	00Y223A01	VA	01
	1245277037	VA	05
ANTHEM	192050	VA	01
SOUTHERN HEALTH	414725	VA	01
AETNA USHC	5057181	VA	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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