Provider Demographics
NPI:1639227655
Name:COEL, RACHEL (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:COEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:550 S BERETANIA ST
Mailing Address - Street 2:PHYSICIAN OFFICE BLDG 3, SUITE 703
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-691-4449
Mailing Address - Fax:808-691-4015
Practice Address - Street 1:550 S BERETANIA ST
Practice Address - Street 2:PHYSICIAN OFFICE BLDG 3, SUITE 703
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-691-4449
Practice Address - Fax:808-691-4015
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI170162080S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO70424772Medicaid
COCOA100530Medicare PIN