Healthcare Provider Details

I. General information

NPI: 1497398093
Provider Name (Legal Business Name): RACHEL LEANNE BILO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2019
Last Update Date: 06/28/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44980 SAINT ANDREWS CHURCH RD
CALIFORNIA MD
20619-2363
US

IV. Provider business mailing address

44111 BEAVER CREEK DR
CALIFORNIA MD
20619-7130
US

V. Phone/Fax

Practice location:
  • Phone: 855-910-3278
  • Fax:
Mailing address:
  • Phone: 301-481-6005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0007366
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: