Basic Information
Provider Information
NPI: 1659936003
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIGEL
FirstName: ALLISON
MiddleName: RENEE
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 K ST NE APT 514
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200026687
CountryCode: US
TelephoneNumber: 9379255184
FaxNumber:  
Practice Location
Address1: 3020 14TH ST NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200096865
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/01/2019
LastUpdateDate: 08/30/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/30/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207Q00000XDO200001208DCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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