Provider Demographics
NPI:1508438359
Name:CHAABAN, RANA ADNAN
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:ADNAN
Last Name:CHAABAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7620 BROWNLEY PL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-2458
Mailing Address - Country:US
Mailing Address - Phone:972-740-2256
Mailing Address - Fax:
Practice Address - Street 1:8055 CHURCHILL WAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2149
Practice Address - Country:US
Practice Address - Phone:469-680-7556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686341835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist