Healthcare Provider Details

I. General information

NPI: 1336374768
Provider Name (Legal Business Name): RACHEL BETH MEJIA SOUNHEIN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL MEJIA D.O.

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 06/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-3445
  • Fax: 319-384-9367
Mailing address:
  • Phone: 319-356-3445
  • Fax: 319-384-9367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDO-04431
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberDO-04431
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: