Abdel-Rahman, Khaled Ahmed Essam

Abdel-Rahman, Khaled Ahmed Essam is an sole proprietor health care provider with primary practice located at 202 N Division St Suite 404, Auburn WA 98001-4939. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Abdel-Rahman, Khaled Ahmed Essam can be contacted via phone (253) 833-6688.

Contact Information

Primary practice address
202 N Division St Suite 404 Auburn WA 98001-4939
Fax: (253) 833-5388
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00042646 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD00042646 Washington

Profile Details

NPI number 1881731370
LBN Legal business name Abdel-Rahman, Khaled Ahmed Essam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jan 11th, 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 1881731370 NPPES
Washington MEDICAID 8358145

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