Provider Demographics
NPI:1578584835
Name:RAKEL, BIRGIT (MD)
Entity Type:Individual
Prefix:
First Name:BIRGIT
Middle Name:
Last Name:RAKEL
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 1:925 CHESTNUT ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4216
Mailing Address - Country:US
Mailing Address - Phone:215-955-2221
Mailing Address - Fax:215-955-2509
Practice Address - Street 1:925 CHESTNUT ST
Practice Address - Street 2:SUITE 120
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4216
Practice Address - Country:US
Practice Address - Phone:215-955-2221
Practice Address - Fax:215-955-2509
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD417402207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001876437 0001Medicaid
PA001876437 0001Medicaid