Provider Demographics
NPI:1023284494
Name:URRUTIA, RACHEL PERAGALLO (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:PERAGALLO
Last Name:URRUTIA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7535 CARPENTER FIRE STATION RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8617
Mailing Address - Country:US
Mailing Address - Phone:919-230-2100
Mailing Address - Fax:919-230-2133
Practice Address - Street 1:7535 CARPENTER FIRE STATION RD
Practice Address - Street 2:SUITE 105
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8617
Practice Address - Country:US
Practice Address - Phone:919-230-2100
Practice Address - Fax:919-230-2133
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2016-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2010-00883207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1023284494Medicaid
NC2075997Medicare PIN
NC1023284494Medicaid