Provider Demographics
NPI:1154302263
Name:RACH, JOEL F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:F
Last Name:RACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-2818
Mailing Address - Country:US
Mailing Address - Phone:724-258-8866
Mailing Address - Fax:725-258-7595
Practice Address - Street 1:900 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-2818
Practice Address - Country:US
Practice Address - Phone:724-258-8866
Practice Address - Fax:725-258-7595
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA032923E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC29814Medicare UPIN
PARA096772Medicare ID - Type Unspecified