Basic Information
Provider Information
NPI: 1518345289
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DONALDSON
FirstName: RACHEL
MiddleName: ANNE
NamePrefix:  
NameSuffix:  
Credential: MD, MS
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 7300 N FRESNO ST
Address2:  
City: FRESNO
State: CA
PostalCode: 937202941
CountryCode: US
TelephoneNumber: 5594884262
FaxNumber:  
Practice Location
Address1: 155 N FRESNO ST
Address2:  
City: FRESNO
State: CA
PostalCode: 937012302
CountryCode: US
TelephoneNumber: 5594996400
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/13/2015
LastUpdateDate: 12/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 06/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X150956CAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XA150956CAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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