Provider Demographics
NPI:1942648514
Name:RABAH, SANA
Entity Type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:RABAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-4715
Mailing Address - Country:US
Mailing Address - Phone:510-209-4650
Mailing Address - Fax:510-733-5009
Practice Address - Street 1:1951 23RD AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-4715
Practice Address - Country:US
Practice Address - Phone:510-209-4650
Practice Address - Fax:510-733-5009
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2015-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46-2887062343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)