MEDICARE: RACHEL I MANDEL 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	207V00000X	Obstetrics & Gynecology Physician	D0047236	MD

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

General Provider Information

NPI Number	:	1427030170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL I MANDEL MD

Provider Business Mailing Address
First Line	:	75 THOMAS JOHNSON DRIVE
Second Line	:	SUITE J
City	:	FREDERICK
State	:	MD
Zip	:	21702-4895
Country	:	US
Telephone Number	:	301-620-0010
Fax Number	:	301-682-3977

Provider Business Practice Location Address
First Line	:	75 THOMAS JOHNSON DRIVE
Second Line	:	SUITE J
City	:	FREDERICK
State	:	MD
Zip	:	21702-4895
Country	:	US
Telephone Number	:	301-620-0010
Fax Number	:	301-682-3977

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

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	05/02/2011

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Directions to “ RACHEL I MANDEL MD” Practice Location

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