Dr Rakhshi Hydari PLLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

P7283 Issued in TX

Legal business name

DR RAKHSHI HYDARI PLLC

Practice address

13558 Mercedes LN
Frisco, TX 75035-0649

Phone

(903) 347-0001

Fax

(903) 347-0002

NPI assigned

Aug 14, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rakhshi Hydari, MDNPI 1699945956

Title

Owner

Phone

(903) 347-0001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rakhshi Hydari, MD

  • Family Medicine Physician
  • Sherman, TX
  • NPI 1699945956
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1255811899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13558 MERCEDES LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350649",
            "telephone_number": "903-949-8769",
            "fax_number": "903-347-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13558 MERCEDES LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350649",
            "telephone_number": "903-347-0001",
            "fax_number": "903-347-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RAKHSHI HYDARI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "HYDARI",
        "authorized_official_first_name": "RAKHSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-347-0001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "P7283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.