Provider Demographics
NPI:1013059211
Name:ABDEL-RAHMAN, RANIA (MD)
Entity Type:Individual
Prefix:DR
First Name:RANIA
Middle Name:
Last Name:ABDEL-RAHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4168 SOUTHPOINT PKWY S
Mailing Address - Street 2:SUITE 103
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-0966
Mailing Address - Country:US
Mailing Address - Phone:904-551-1185
Mailing Address - Fax:904-551-1184
Practice Address - Street 1:4168 SOUTHPOINT PKWY S
Practice Address - Street 2:SUITE 103
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-0966
Practice Address - Country:US
Practice Address - Phone:904-551-1185
Practice Address - Fax:904-551-1184
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2013-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2222225207R00000X
FL106215207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine