Provider Demographics
NPI:1891215851
Name:BAK, RACHEL CHOI (MD)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CHOI
Last Name:BAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KUN-YOUNG
Other - Middle Name:RACHEL
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3650 JOSEPH SIEWICK DR STE 400
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1715
Mailing Address - Country:US
Mailing Address - Phone:703-381-2020
Mailing Address - Fax:703-391-1211
Practice Address - Street 1:381 ELDEN ST SUITE 1000
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170
Practice Address - Country:US
Practice Address - Phone:703-481-1505
Practice Address - Fax:703-955-7001
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116030675207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine