Provider Demographics
NPI:1528039781
Name:MURPHY, RACHAEL M (MD)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:M
Other - Last Name:CARINHAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:350 LAKEVIEW CT STE B
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7523
Mailing Address - Country:US
Mailing Address - Phone:985-200-1003
Mailing Address - Fax:
Practice Address - Street 1:350 LAKEVIEW CT STE B
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-200-1003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11755R207RA0401X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1683317Medicaid
LA5Y004DF89Medicare PIN
LAG17773Medicare UPIN
LA1683317Medicaid