MEDICARE: DR. ALEKSANDRA RACHITSKAYA 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	207WX0107X	Retina Specialist (Ophthalmology) Physician	35.123719	OH
2	207W00000X	Ophthalmology Physician	ME112218	FL

General Provider Information

NPI Number	:	1487802757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEKSANDRA RACHITSKAYA M.D.

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE # I32
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-445-9519
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE # I32
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1119
Country	:	US
Telephone Number	:	216-445-9519
Fax Number	:

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

Provider Enumeration Date	:	08/28/2008
Last Update Date	:	07/17/2023

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