Rabkina, Diana

Rabkina, Diana is an individual health care provider with primary practice located at 100 South St Suite 102, Southbridge MA 01550-4051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rabkina, Diana can be contacted via phone (508) 765-7860.

Contact Information

Primary practice address
100 South St Suite 102 Southbridge MA 01550-4051
Fax: (508) 765-7861
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 46732 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 203917 Massachusetts

Profile Details

NPI number 1548285364
LBN Legal business name Rabkina, Diana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Dec 18th, 2014 - about 11 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 1548285364 NPPES
Wisconsin MEDICAID 34566800

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