Rachu, Gregory

Rachu, Gregory is an individual health care provider with primary practice located at 7220 W National Ave , West Allis WI 53214-4734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Rachu, Gregory can be contacted via phone (414) 257-8500.

Contact Information

Primary practice address
7220 W National Ave West Allis WI 53214-4734
Phone: (414) 257-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LP001411 Rhode Island
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD13465 Rhode Island
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57281 Wisconsin
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X LAJ00004 Rhode Island

Profile Details

NPI number 1023271475
LBN Legal business name Rachu, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Jul 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023271475 NPPES
Rhode Island Other 002198101 MEDICARE PTAN
Rhode Island MEDICAID GR85523 MEDICARE PTAN
Rhode Island MEDICAID 1023271475 MEDICARE PTAN

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