Provider Demographics
NPI:1013535434
Name:ALSHATTI, RAWAA ARAAH (DMD)
Entity Type:Individual
Prefix:MRS
First Name:RAWAA
Middle Name:ARAAH
Last Name:ALSHATTI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KNEELAND STREET
Mailing Address - Street 2:TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, 12TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:617-636-6531
Mailing Address - Fax:
Practice Address - Street 1:1 KNEELAND STREET
Practice Address - Street 2:TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, 12TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-6531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2022-05-16
Deactivation Date:2022-01-19
Deactivation Code:
Reactivation Date:2022-05-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program