Abdel-Rahman, Islam
Abdel-Rahman, Islam is an individual health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Abdel-Rahman, Islam can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
5165 Mccarty Ln
Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 868-4698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | P95998 | New York |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01083540A | Indiana |
Profile Details
| NPI number | 1932562089 |
|---|---|
| LBN Legal business name | Abdel-Rahman, Islam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2016 |
| Last updated | Jul 15th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932562089 | NPPES |
| Indiana | MEDICAID | 300038584 |
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