Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 208866 | NY |
N | 111NI0900X | Internist | 208866 | NY |
N | 207R00000X | Internist | 25MA07530700 | NJ |
N | 111NI0900X | Internist | 25MA07530700 | NJ |
N | 207RN0300X | Nephrologist | 208866 | NY |
N | 207RN0300X | Nephrologist | 25MA07530700 | NJ |
NPI | 1043245400 |
---|---|
Provider Name | Dr. Mahmoudsaid H Rateb |
First Address | Brooklyn, NY 11209-5055 |
Second Address | Brooklyn, NY 11209-5055 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000370014225 | HEALTHPLUS NY (01) | NY |
01867894 | (05) | NY |
164647 | ELDERPLAN NY (01) | NY |
3300249 | GHI (01) | NY |
G78639 | (02) | NY |
P2098567 | OXFORD (01) | NY |
SP14206 | CENTERCARE NOW IS FIDELIS (01) | NY |