Provider Demographics
NPI:1366718504
Name:SUSSMAN, RACHAEL DANA (MD)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:DANA
Last Name:SUSSMAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:DEPT OF UROLOGY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-4922
Mailing Address - Fax:202-444-6292
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:DEPT OF UROLOGY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-4922
Practice Address - Fax:202-444-6292
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2021-08-26
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Provider Licenses
StateLicense IDTaxonomies
DCMD0472682088F0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic Surgery