Provider Demographics
NPI:1710950019
Name:RAMIREZ, RACHEL LEAH (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LEAH
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LEAH
Other - Last Name:DEMENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1245 HIGHLAND AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3714
Mailing Address - Country:US
Mailing Address - Phone:215-481-4811
Mailing Address - Fax:215-576-1787
Practice Address - Street 1:1245 HIGHLAND AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3714
Practice Address - Country:US
Practice Address - Phone:215-481-4811
Practice Address - Fax:215-576-1787
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD436817207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA162319Medicare PIN