Provider Demographics
NPI:1972023257
Name:LEVY, RACHAEL MILLER (MD)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MILLER
Last Name:LEVY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:BETH
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4017
Practice Address - Country:US
Practice Address - Phone:410-414-4740
Practice Address - Fax:410-414-4741
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD91474207V00000X
VA0101282251207V00000X
PAMT214059207V00000X
DCMD210002671207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology