Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A90857 | CA |
N | 111NI0900X | Internist | A90857 | CA |
N | 207RR0500X | Rheumatology | D0073190 | MD |
N | 207RR0500X | Rheumatology | MD040130 | DC |
NPI | 1003086448 |
---|---|
Provider Name | Dr. Rachel Kaiser |
First Address | Wheaton, MD 20902-1905 |
Second Address | Chevy Chase, MD 20815-6901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2008 |
Last Update Date | 29/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A90857 | MEDICAL LICENSE (01) | CA |