Provider Demographics
NPI:1629271176
Name:ROBINSON, RACHEL D (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:D
Last Name:ROBINSON
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 1:1601 MEDICAL ARTS BLVD STE 51
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46011-3462
Mailing Address - Country:US
Mailing Address - Phone:765-787-0412
Mailing Address - Fax:765-787-0413
Practice Address - Street 1:1601 MEDICAL ARTS BLVD STE 51
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46011-3462
Practice Address - Country:US
Practice Address - Phone:765-787-0412
Practice Address - Fax:765-787-0413
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01070245A207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200112430Medicaid