Provider Demographics
NPI:1437121910
Name:YIRGA, RAHEL G (MD)
Entity Type:Individual
Prefix:
First Name:RAHEL
Middle Name:G
Last Name:YIRGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2418 W INDIAN TRL STE F
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1590
Mailing Address - Country:US
Mailing Address - Phone:630-907-0578
Mailing Address - Fax:630-907-9015
Practice Address - Street 1:20 PIDGEON HILL DR STE 208
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-6134
Practice Address - Country:US
Practice Address - Phone:703-539-6029
Practice Address - Fax:703-757-1712
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101233758207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00013999OtherRAILROAD MEDICARE
VA289060OtherBCBS
VA5882991Medicaid
VAH34358Medicare UPIN
VA000990P82Medicare PIN