Provider Demographics
NPI:1821309188
Name:AL RABADI, LAITH FARAH (MD)
Entity Type:Individual
Prefix:DR
First Name:LAITH
Middle Name:FARAH
Last Name:AL RABADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:650 ALBANY ST FL 5
Mailing Address - Street 2:EBRC BUILDING #504
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2518
Mailing Address - Country:US
Mailing Address - Phone:617-638-7330
Mailing Address - Fax:
Practice Address - Street 1:650 ALBANY ST
Practice Address - Street 2:EBRC BUILDING #504
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2518
Practice Address - Country:US
Practice Address - Phone:617-638-7330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-8776207R00000X
MA256217207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine