Provider Demographics
NPI:1003483892
Name:ALRAHAMNEH, HEBAH ADEL ISSA (MD)
Entity type:Individual
Prefix:
First Name:HEBAH
Middle Name:ADEL ISSA
Last Name:ALRAHAMNEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR, MC7882
Mailing Address - Street 2:MC7882
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-567-1767
Mailing Address - Fax:210-567-1767
Practice Address - Street 1:7703 FLOYD CURL DR, MC7882
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-567-1767
Practice Address - Fax:210-567-1767
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2024-09-18
Deactivation Date:2023-04-03
Deactivation Code:
Reactivation Date:2024-09-18
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXBP30087308207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology