Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 5101010738 | MI |
Y | 207RI0011X | Interventional Cardiology | 5101010738 | MI |
NPI | 1013967793 |
---|---|
Provider Name | Dr. Maher Rabah |
First Address | Southfield, MI 48033-3849 |
Second Address | Berkley, MI 48072-0919 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 20/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G25150 | (02) | MI |