Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 0101047985 | VA |
NPI | 1013979806 |
---|---|
Provider Name | Dr. Kathleen A Rausch |
First Address | Reston, VA 20191-1557 |
Second Address | Reston, VA 20190-3238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 30/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
231688 | ANTHEM (01) | VA |
37730001 | CAREFIRST DC (01) | VA |
6211275 | (05) | VA |
F71960 | (02) | VA |