Provider Demographics
NPI:1730140427
Name:RABIE, KHALED FOUAD (MD)
Entity Type:Individual
Prefix:DR
First Name:KHALED
Middle Name:FOUAD
Last Name:RABIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 6TH ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8144
Mailing Address - Country:US
Mailing Address - Phone:318-442-2121
Mailing Address - Fax:318-442-9600
Practice Address - Street 1:404 6TH ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8144
Practice Address - Country:US
Practice Address - Phone:318-442-2121
Practice Address - Fax:318-442-9600
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD08222R207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1998885Medicaid
LA1998885Medicaid
LA54787Medicare PIN