Provider Demographics
NPI:1508259540
Name:EL SABBAGH, RANA (MD)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:EL SABBAGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 TRAVAILLER RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-6425
Mailing Address - Country:US
Mailing Address - Phone:216-703-5979
Mailing Address - Fax:
Practice Address - Street 1:2308 E MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4029
Practice Address - Country:US
Practice Address - Phone:337-374-7156
Practice Address - Fax:337-456-9056
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA320667207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology