Provider Demographics
NPI:1437257755
Name:SMITH, RACHAEL (DO)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BANNING ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3485
Mailing Address - Country:US
Mailing Address - Phone:302-730-8848
Mailing Address - Fax:302-730-8846
Practice Address - Street 1:200 BANNING ST
Practice Address - Street 2:SUITE 350
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3485
Practice Address - Country:US
Practice Address - Phone:302-730-8848
Practice Address - Fax:302-730-8846
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC200062202081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEP3437216OtherOXFORD HEALTH PLAN
DE386606954OtherBC/BS
DE0001137603OtherDE PHYSICIANS CARE
DE190991OtherCOVENTRY
CT3217896OtherAETNA - HMO
DE395302OtherMIAMI, OPTIMUM CHOICE
DEP00162142OtherRAILROAD MEDICARE
DE9904178OtherCIGNA
DE0001137603Medicaid
DE7428307OtherAETNA - PPO
DE510329923OtherUNITED HEALTH CARE
DE9904178OtherCIGNA
DEP00162142OtherRAILROAD MEDICARE