Rubin, Isadore L

Rubin, Isadore L is an individual health care provider with primary practice located at 35 Jesse Hill Jr Dr Se Hughes Spalding Childrens Hospital, Atlanta GA 30303-3032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Rubin, Isadore L can be contacted via phone (404) 616-4878.

Contact Information

Primary practice address
35 Jesse Hill Jr Dr Se Hughes Spalding Childrens Hospital Atlanta GA 30303-3032
Phone: (404) 616-4878
Fax: (404) 616-2416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 039221 Georgia
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 039221 Georgia

Profile Details

NPI number 1710987920
LBN Legal business name Rubin, Isadore L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 7th, 2008 - about 16 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 1710987920 NPPES
Georgia MEDICAID 000624412

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