MEDICARE: RACHAEL ELISE PRICE SEDDIGHZADEH DO

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	208600000X	Surgery Physician	U2636	TX

General Provider Information

NPI Number	:	1750883146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL ELISE PRICE SEDDIGHZADEH DO

Provider Business Mailing Address
First Line	:	6210 E HWY 290 STE 240A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1144
Country	:	US
Telephone Number	:	512-483-9596
Fax Number	:	512-406-6216

Provider Business Practice Location Address
First Line	:	3816 S 1ST ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-7048
Country	:	US
Telephone Number	:	512-443-1311
Fax Number	:	512-406-6266

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

Provider Enumeration Date	:	03/02/2018
Last Update Date	:	06/06/2026

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Directions to “ RACHAEL ELISE PRICE SEDDIGHZADEH DO” Practice Location

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