Provider Demographics
NPI:1891751301
Name:RAB, SYED TAHSEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:TAHSEEN
Last Name:RAB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16014 DOCTORS BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1478
Mailing Address - Country:US
Mailing Address - Phone:985-340-7868
Mailing Address - Fax:985-340-7866
Practice Address - Street 1:16014 DOCTORS BLVD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1478
Practice Address - Country:US
Practice Address - Phone:985-340-7868
Practice Address - Fax:985-340-7866
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA12338R207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1485471Medicaid
LA5E927CS64Medicare PIN
H06178Medicare UPIN
LA5E927Medicare PIN