Provider Demographics
NPI:1073930251
Name:GIYANANI, RACHEL MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MICHELLE
Last Name:GIYANANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 PEBBLEBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-7684
Mailing Address - Country:US
Mailing Address - Phone:979-574-7018
Mailing Address - Fax:
Practice Address - Street 1:100 WASHINGTON ST NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4860
Practice Address - Country:US
Practice Address - Phone:256-801-3108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2019-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL36167207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program