RUKAN DACCAK (NPI# 1780629840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780629840 |
| Entity Type | Individual |
| Full Name | RUKAN DACCAK |
| Credential | M.D. |
| Practice Address |
4450 E Sam Houston Pkwy S Ste H2 Pasadena TX 77505-3950 |
| Mailing Address |
Po Box 405 South Houston TX 77587-0405 |
| Practice Telephone | 7139107779 |
| Practice Fax Number | 7139107760 |
| Mailing Telephone | 7139107779 |
| Mailing Fax Number | 7139107760 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
J8980 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBSTX | 0077AS | 01 |
| TX | MEDICAID PIN | 181878301 | 01 |
| TX | 096904002 | 05 |
| Street Address |
4450 E SAM HOUSTON PKWY S STE H2 |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-3950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285686485 | Stephen Hakimi | Optometrist | 4450 E Sam Houston Pkwy S, Suite E, Pasadena, TX 77505-3950 | 2006-05-16 |
| 1154765097 | Megan Shonebarger | Physician Assistant | 4450 E Sam Houston Pkwy S, Suite H2, Pasadena, TX 77505-3950 | 2013-04-22 |
| 1225369077 | Time Square Dental Group | Dentist | 4450 E Sam Houston Pkwy S, Suite H2, Pasadena, TX 77505-3950 | 2010-01-19 |
| 1679763213 | Razan Daccak | Dentist | 4450 E Sam Houston Pkwy S, Suite H, Pasadena, TX 77505 | 2007-07-30 |
| 1154373942 | Scott Eric Segal | Ophthalmology | 4450 E Sam Houston Pkwy S, Suit E, Pasadena, TX 77505-3950 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
| Find all providers in zip 77505 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538453170 | Arlan Avrom Cohen | Internal Medicine | 1008 S Oakland Ave, Pasadena, CA 91106-4337 | 2011-05-31 |
| 1699965087 | Alliance Digestive Disease Consultants Medical Group | Internal Medicine | 50 Alessandro Pl Ste 410, Pasadena, CA 91105-3175 | 2007-07-31 |
| 1649244104 | Sassan Soltani | Internal Medicine | 50 Alessandro Place, Suite 410, Pasadena, CA 91105-3954 | 2006-02-13 |
| 1437149226 | John M. Zeroogian | Internal Medicine | 630 S Raymond Ave Unit 240, Pasadena, CA 91105-3283 | 2005-10-24 |
| 1871595942 | Mukul Khandelwal | Internal Medicine | 8109 Ritchie Hwy, Pasadena, MD 21122-6917 | 2005-08-10 |
| 1003819582 | Steven Alan Fein | Internal Medicine | 6243 Fairmont Pkwy Ste 203b, Pasadena, TX 77505-4047 | 2005-05-27 |
| 1902085277 | Steven J Petit Md A M C | Internal Medicine | 630 S Raymond Ave, Suite 240, Pasadena, CA 91105-3278 | 2007-11-02 |
| 1376732057 | Julie Ting-yu Yang | Internal Medicine | 50 Alessandro Pl, Suite 410, Pasadena, CA 91105-3149 | 2007-10-18 |
| 1336337542 | Glenn D Littenberg Md Inc | Internal Medicine | 630 S Raymond Ave, Suite 240, Pasadena, CA 91105-3278 | 2007-10-12 |
| 1487855086 | Pasadena Gastroenterology Medical Group Inc | Internal Medicine | 2750 E Washington Blvd, Ste 330, Pasadena, CA 91107-1448 | 2007-05-30 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.