Provider Demographics
NPI:1306978382
Name:JANOWICZ, RACHEL ANNE (DPM)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ANNE
Last Name:JANOWICZ
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11475 E HELM DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-1887
Mailing Address - Country:US
Mailing Address - Phone:480-247-6494
Mailing Address - Fax:480-247-6643
Practice Address - Street 1:16427 N SCOTTSDALE RD STE 434
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-7103
Practice Address - Country:US
Practice Address - Phone:480-247-6494
Practice Address - Fax:480-247-6643
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0829213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ133079Medicaid
CAV0068Medicare UPIN
CAPJ4091Medicare ID - Type Unspecified