Provider Demographics
NPI:1861813776
Name:WILLIAMS, RACHAEL L (MD)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:L
Other - Last Name:RAFFLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12188A N MERIDIAN ST STE 375
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4433
Mailing Address - Country:US
Mailing Address - Phone:317-926-1056
Mailing Address - Fax:
Practice Address - Street 1:12188A N MERIDIAN ST STE 375
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4433
Practice Address - Country:US
Practice Address - Phone:317-926-1056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01080579A207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN01080579AOtherMEDICAL LICENSE