Provider Demographics
NPI:1578761177
Name:RABKIN, CHARLES S (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:S
Last Name:RABKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6120 EXECUTIVE BLVD
Mailing Address - Street 2:EPS 7086
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4906
Mailing Address - Country:US
Mailing Address - Phone:301-496-8115
Mailing Address - Fax:301-402-0817
Practice Address - Street 1:6120 EXECUTIVE BLVD
Practice Address - Street 2:EPS 7086
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4906
Practice Address - Country:US
Practice Address - Phone:301-496-8115
Practice Address - Fax:301-402-0817
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA029517207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine