MEDICARE: RACHAEL S BOWLES MD

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
1	207R00000X	Internal Medicine Physician	01043950A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000086767	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1295793412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL S BOWLES MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5550 S. EAST ST.
Second Line	:	SUITE I
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-1978
Country	:	US
Telephone Number	:	317-780-4080
Fax Number	:	317-780-4088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	05/17/2025

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Directions to “ RACHAEL S BOWLES MD” Practice Location

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