Provider Demographics
NPI:1972589885
Name:RAUSCH, CHRISTINE S (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:S
Last Name:RAUSCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2510 GASKINS ROAD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238
Mailing Address - Country:US
Mailing Address - Phone:804-282-4940
Mailing Address - Fax:804-282-4941
Practice Address - Street 1:2510 GASKINS ROAD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238
Practice Address - Country:US
Practice Address - Phone:804-282-4940
Practice Address - Fax:804-282-4941
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238402207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH60295Medicare UPIN
VA00W642S01Medicare PIN