Provider Demographics
NPI:1568420941
Name:CHASTANET, RACHEL I (MD)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:I
Last Name:CHASTANET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:I
Other - Last Name:BARNUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:CHESAPEAKE WEIGHT LOSS
Mailing Address - Street 2:221 MOUNT PLEASANT RD, SUITE A-1
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-4155
Mailing Address - Country:US
Mailing Address - Phone:757-312-9444
Mailing Address - Fax:757-447-3500
Practice Address - Street 1:CHESAPEAKE WEIGHT LOSS
Practice Address - Street 2:221 MOUNT PLEASANT ROAD #A-1
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-4155
Practice Address - Country:US
Practice Address - Phone:757-312-9444
Practice Address - Fax:757-447-3500
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043938208M00000X, 207RB0002X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH36474Medicare UPIN