Individual ProviderRasik DhakalInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701(260) 266-1000(260) 266-6013PECOS EnrollmentBased on the most recent information from CMS, provider Rasik Dhakal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1649790783Provider TypeIndividualFull NameDhakal, RasikCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/20/2017Last Updated10/14/2022Contact InformationPractice LocationPractice Address11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701Phone(260) 266-1000FaxUnlisted FaxMailing LocationMailing Address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701Phone(260) 266-6013FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense01083792AIndianaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer