Provider Demographics
NPI:1700973450
Name:PERRY, RACHEL L (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:L
Last Name:PERRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3501 SILVERSIDE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4910
Mailing Address - Country:US
Mailing Address - Phone:302-477-3937
Mailing Address - Fax:302-477-2653
Practice Address - Street 1:3501 SILVERSIDE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4910
Practice Address - Country:US
Practice Address - Phone:302-477-3937
Practice Address - Fax:302-477-2653
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0053518207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD387900300Medicaid
MDG78196Medicare UPIN
MD387900300Medicaid