Provider Demographics
NPI:1194927749
Name:MEADOWS, RACHAEL SUSAN (MD)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:SUSAN
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6626 E. 75TH STREET
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2890
Mailing Address - Country:US
Mailing Address - Phone:317-497-1920
Mailing Address - Fax:317-535-4074
Practice Address - Street 1:3000 S STATE ROAD 135
Practice Address - Street 2:SUITE 310
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-9825
Practice Address - Country:US
Practice Address - Phone:317-497-2400
Practice Address - Fax:317-497-2515
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2023-11-27
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Provider Licenses
StateLicense IDTaxonomies
IN01065206A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200894560Medicaid
IN200894560Medicaid