Basic Information
Provider Information
NPI: 1134133655
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIRCHARD
FirstName: KATHERINE
MiddleName: RACHEL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UNC HOSPITALS
Address2: 2000 OLD CLINIC BUILDING CB# 7510
City: CHAPEL HILL
State: NC
PostalCode: 275997510
CountryCode: US
TelephoneNumber: 9199664131
FaxNumber:  
Practice Location
Address1: UNC HOSPITALS
Address2: 2000 OLD CLINIC BUILDING CB# 7510
City: CHAPEL HILL
State: NC
PostalCode: 275997510
CountryCode: US
TelephoneNumber: 9199664131
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/28/2006
LastUpdateDate: 09/19/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X NCY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
BB975986601 DEAOTHER


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