Provider Demographics
NPI:1578845954
Name:AL MANASRA, ABDEL RAHMAN ABDULLAH ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDEL RAHMAN
Middle Name:ABDULLAH ALI
Last Name:AL MANASRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:96 JONATHAN LUCAS ST
Mailing Address - Street 2:CSB 409
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-8900
Mailing Address - Country:US
Mailing Address - Phone:843-792-3368
Mailing Address - Fax:843-792-8596
Practice Address - Street 1:96 JONATHAN LUCAS ST
Practice Address - Street 2:CSB 409
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8900
Practice Address - Country:US
Practice Address - Phone:843-792-3368
Practice Address - Fax:843-792-8596
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator