Provider Demographics
NPI:1881905156
Name:SPIEGEL, RACHEL PAZ LEIGH (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:PAZ LEIGH
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:PAZ
Other - Last Name:LEIGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2955 IVY RD STE 205
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-9353
Mailing Address - Country:US
Mailing Address - Phone:434-243-4713
Mailing Address - Fax:434-293-8570
Practice Address - Street 1:2955 IVY RD STE 205
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-9353
Practice Address - Country:US
Practice Address - Phone:434-243-4500
Practice Address - Fax:434-293-8570
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC164866207Q00000X
VA0101253879207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVA769AMedicare PIN
VA322875YWAUMedicare PIN