MEDICARE: RAHEL GETACHEW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	41983	KY

General Provider Information

NPI Number	:	1033378906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAHEL GETACHEW M.D.

Provider Business Mailing Address
First Line	:	1102 SAINT MARYS RD
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-4139
Country	:	US
Telephone Number	:	785-238-4131
Fax Number	:	785-210-3382

Provider Business Practice Location Address
First Line	:	1106 SAINT MARYS RD
Second Line	:	SUITE 309
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-4158
Country	:	US
Telephone Number	:	785-762-3388
Fax Number	:	785-210-3432

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	11/21/2018

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