Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | DO034857 | DC |
Y | 207KA0200X | Allergist | DR.0064618 | CO |
N | 207R00000X | Internist | R2381 | AZ |
N | 111NI0900X | Internist | R2381 | AZ |
NPI | 1174938807 |
---|---|
Provider Name | Dr. Rebin Kader |
First Address | Washington, DC 20006-1003 |
Second Address | Washington, DC 20006-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 06/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DO0034857 | DC MEDICAL LICENSE (01) | DC |