Healthcare Provider Details

I. General information

NPI: 1538300272
Provider Name (Legal Business Name): RACHEL SUZANNE SLABACH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2009
Last Update Date: 09/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

311 3RD ST SE
WASHINGTON DC
20003-1906
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-2600
  • Fax:
Mailing address:
  • Phone: 202-536-9062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD038258
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberC132805
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: