Provider Demographics
NPI:1447242268
Name:RABIEI, MD, ABBAS (MD)
Entity Type:Individual
Prefix:
First Name:ABBAS
Middle Name:
Last Name:RABIEI, MD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2791
Mailing Address - Country:US
Mailing Address - Phone:561-253-8121
Mailing Address - Fax:561-253-8021
Practice Address - Street 1:641 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2791
Practice Address - Country:US
Practice Address - Phone:561-253-8121
Practice Address - Fax:561-253-8021
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME84437207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3766903OtherAETNA NON HMO
FL264835OtherAMERIGROUP INS
FL7239688OtherAETNA BLUE BELL
FL9308574OtherPHCS
FL11127OtherBLUE CROSS
FL5885OtherAMERICAS HEALTH CHOICE
FL2087096OtherFIRST HEALTH CCN NETWORK
FL263877100Medicaid
FLP00162558OtherRAILROAD MEDICARE
FL11045703OtherCAQH
FL3354249OtherCIGNA
FLH67857OtherVISTA HEALTH
FL263877100Medicaid
FL7239688OtherAETNA BLUE BELL
FL3354249OtherCIGNA