Provider Demographics
NPI:1821094459
Name:IVKER, RACHEL A (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:IVKER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3455 MAIN ST
Mailing Address - Street 2:STE 5
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1147
Mailing Address - Country:US
Mailing Address - Phone:413-733-9600
Mailing Address - Fax:413-732-6534
Practice Address - Street 1:3455 MAIN ST
Practice Address - Street 2:STE 5
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1147
Practice Address - Country:US
Practice Address - Phone:413-733-9600
Practice Address - Fax:413-732-6534
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2008-04-24
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Provider Licenses
StateLicense IDTaxonomies
MA205848207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA205848OtherTUFTS HEALTH PLANS
MAIVJ22328OtherBLUE CROSS BLUE SHIELD
CT2058482202OtherCONNECTICARE
MA26366OtherHEALTH NEW ENGLAND
070015197OtherRAILROAD MEDICARE
0304370OtherUNITED HEALTH CARE
MAIVJ22328OtherBLUE CROSS BLUE SHIELD
MA205848OtherTUFTS HEALTH PLANS