Provider Demographics
NPI:1538108931
Name:RABB, CRAIG H (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:H
Last Name:RABB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 N. LINCOLN BLVD.
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104
Mailing Address - Country:US
Mailing Address - Phone:405-271-4912
Mailing Address - Fax:405-271-3091
Practice Address - Street 1:1000 N. LINCOLN BLVD.
Practice Address - Street 2:SUITE 400
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104
Practice Address - Country:US
Practice Address - Phone:405-271-4912
Practice Address - Fax:405-271-3091
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37209207T00000X
OR19476207T00000X
WA34323207T00000X
NE21045207T00000X
WY6344A207T00000X
OK23044207T00000X
NM2003-0703207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01372093Medicaid
CO01372093Medicaid
G18440Medicare UPIN