Provider Demographics
NPI:1568634665
Name:MAJDI I ALRABADY DDS. LLC
Entity Type:Organization
Organization Name:MAJDI I ALRABADY DDS. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJDI
Authorized Official - Middle Name:I
Authorized Official - Last Name:ALRABADY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-889-2424
Mailing Address - Street 1:17407 LORAIN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-4022
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17407 LORAIN AVE STE 201
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-4022
Practice Address - Country:US
Practice Address - Phone:216-889-2424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300-217381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2627590Medicaid