Ebrahem, Rawaa

Ebrahem, Rawaa is an sole proprietor health care provider with primary practice located at 1921 N Webb Rd , Wichita KS 67206-3405. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Ebrahem, Rawaa can be contacted via phone (316) 612-4815.

Contact Information

Primary practice address
1921 N Webb Rd Wichita KS 67206-3405
Fax: (316) 612-4825
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 94-08572 Kansas
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 04-43181 Kansas
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X TRN27052 Florida

Profile Details

NPI number 1104206077
LBN Legal business name Ebrahem, Rawaa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2015
Last updated Jan 7th, 2021 - about 3 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 1104206077 NPPES
Kansas MEDICAID 201294670A

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