Provider Demographics
NPI:1356307862
Name:S. TAHSEEN RAB MD APLLC
Entity Type:Organization
Organization Name:S. TAHSEEN RAB MD APLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:S.
Authorized Official - Middle Name:TAHSEEN
Authorized Official - Last Name:RAB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-340-7868
Mailing Address - Street 1:16014 DOCTORS BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1478
Mailing Address - Country:US
Mailing Address - Phone:985-340-7868
Mailing Address - Fax:985-340-7866
Practice Address - Street 1:16014 DOCTORS BLVD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1478
Practice Address - Country:US
Practice Address - Phone:985-340-7868
Practice Address - Fax:985-340-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA070827888FOtherBCBS PROVIDER
LA1818607Medicaid
LA070827888FOtherBCBS PROVIDER