MEDICARE: DR. RACHEL LYNN PIECHOWIAK D.O.

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	2085R0204X	Vascular & Interventional Radiology Physician	0102204525	VA
2	2085R0202X	Diagnostic Radiology Physician	0102204525	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679867212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL LYNN PIECHOWIAK D.O.

Provider Business Mailing Address
First Line	:	224-D CORNWALL STREET, NW, SUITE 403
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-3346
Country	:	US
Telephone Number	:	703-737-6010
Fax Number	:	703-443-8643

Provider Business Practice Location Address
First Line	:	1801 ROBERT FULTON DRIVE, SUITE 510
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-5461
Country	:	US
Telephone Number	:	703-783-5355
Fax Number	:	703-348-6376

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

Provider Enumeration Date	:	05/31/2011
Last Update Date	:	11/29/2022

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