Dr Segun Rasaki MD LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

01061519A Issued in IN

Legal business name

DR SEGUN RASAKI MD LLC

Practice address

3266 N Meridian St
Suite 601
Indianapolis, IN 46208-5846

Phone

(317) 926-9600

Fax

(317) 926-9604

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Segun M Rasaki, MD

Title

Physician

Phone

(317) 926-9600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669692513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 N MERIDIAN ST",
            "address_2": "SUITE 601",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462085846",
            "telephone_number": "317-926-9600",
            "fax_number": "317-926-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3266 N MERIDIAN ST",
            "address_2": "SUITE 601",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462085846",
            "telephone_number": "317-926-9600",
            "fax_number": "317-926-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SEGUN RASAKI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASAKI",
        "authorized_official_first_name": "SEGUN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "317-926-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IN",
            "license": "01061519A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.