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NPI Code Detail

MEDICARE: RACHEL ELLEN MANHERTZ MD

MEDICARE: RACHEL ELLEN MANHERTZ MD
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
1171000000XMilitary Health Care Provider0116042164VA

General Provider Information

NPI Number : 1306561303
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ELLEN MANHERTZ MD
Provider Business Mailing Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 571-231-1803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2022
Last Update Date : 05/26/2026

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