Abukhadrah, Rajab K
Abukhadrah, Rajab K is an individual health care provider with primary practice located at 821 Oakley Seaver Dr , Clermont FL 34711-1968. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Abukhadrah, Rajab K can be contacted via phone (352) 242-1665.Contact Information
Primary practice address
821 Oakley Seaver Dr
Clermont FL 34711-1968
Phone: (352) 242-1665
Fax: (352) 243-1649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME74082 | Florida |
Profile Details
| NPI number | 1023083896 |
|---|---|
| LBN Legal business name | Abukhadrah, Rajab K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Mar 9th, 2023 - about last year |
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 | 1023083896 | NPPES |
| Florida | MEDICAID | 256031300 |
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