Provider Demographics
NPI:1780656959
Name:JANUSH, RACHELLE B (DO)
Entity Type:Individual
Prefix:DR
First Name:RACHELLE
Middle Name:B
Last Name:JANUSH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 830674
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35283-0674
Mailing Address - Country:US
Mailing Address - Phone:334-260-8988
Mailing Address - Fax:334-260-8225
Practice Address - Street 1:350 TAYLOR RD
Practice Address - Street 2:SUITE #2500
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3571
Practice Address - Country:US
Practice Address - Phone:334-260-8988
Practice Address - Fax:334-260-8225
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALDO4892081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG29087Medicare UPIN