Provider Demographics
NPI:1548237431
Name:SZEKELY, RACHEL ANNE (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:SZEKELY
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:PO BOX 603725
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3725
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:8224 MENTOR AVE
Practice Address - Street 2:SUITE 132
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-5768
Practice Address - Country:US
Practice Address - Phone:440-290-8956
Practice Address - Fax:828-350-2174
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35088731207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2644320Medicaid
OHH380241OtherMEDICARE PTAN
OH2644320Medicaid