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NPI Code Detail

MEDICARE: RACHAL ALICE DAVID M.D.

MEDICARE:   RACHAL ALICE DAVID  M.D.
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
1207Q00000XFamily Medicine Physician121952NC
2207Q00000XFamily Medicine Physician2005-01479NC
3207Q00000XFamily Medicine Physician320994LA
4208M00000XHospitalist Physician2005-01479NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114675OTHERNCBCBS

General Provider Information

NPI Number : 1265646582
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAL ALICE DAVID M.D.
Provider Business Mailing Address
First Line : 241 SOUTHAVEN CT
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28083-7001
Country : US
Telephone Number : 504-296-6842
Fax Number :
Provider Business Practice Location Address
First Line : 241 SOUTHAVEN COURT
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28083
Country : US
Telephone Number : 504-296-6842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 01/09/2026

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Directions to “ RACHAL ALICE DAVID M.D.” Practice Location

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