MEDICARE: RACHEL CHAYA SHEMTOV 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	2007-00572	NC
2	208M00000X	Hospitalist Physician	2007-00572	NC

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801090907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL CHAYA SHEMTOV MD

Provider Business Mailing Address
First Line	:	2301 US HIGHWAY 74 W
Second Line	:
City	:	WADESBORO
State	:	NC
Zip	:	28170-7554
Country	:	US
Telephone Number	:	704-994-4500
Fax Number	:	704-994-4501

Provider Business Practice Location Address
First Line	:	2301 US HIGHWAY 74 W
Second Line	:
City	:	WADESBORO
State	:	NC
Zip	:	28170-7554
Country	:	US
Telephone Number	:	704-994-4600
Fax Number	:	704-994-4501

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

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	06/15/2025

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