Healthcare Provider Details

I. General information

NPI: 1568420941
Provider Name (Legal Business Name): RACHEL I CHASTANET MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL I. BARNUM M.D.

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHESAPEAKE WEIGHT LOSS 221 MOUNT PLEASANT ROAD #A-1
CHESAPEAKE VA
23322-4155
US

IV. Provider business mailing address

CHESAPEAKE WEIGHT LOSS 221 MOUNT PLEASANT RD, SUITE A-1
CHESAPEAKE VA
23322-4155
US

V. Phone/Fax

Practice location:
  • Phone: 757-312-9444
  • Fax: 757-447-3500
Mailing address:
  • Phone: 757-312-9444
  • Fax: 757-447-3500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0101043938
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number0101043938
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101043938
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: