Provider Demographics
NPI:1750556700
Name:M H AL RABBAT MD PC
Entity type:Organization
Organization Name:M H AL RABBAT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:H
Authorized Official - Last Name:AL RABBAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-379-0450
Mailing Address - Street 1:115 DUNWOODY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-4318
Mailing Address - Country:US
Mailing Address - Phone:770-379-0450
Mailing Address - Fax:770-379-9203
Practice Address - Street 1:115 DUNWOODY CREEK CT
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-4318
Practice Address - Country:US
Practice Address - Phone:770-379-0450
Practice Address - Fax:770-379-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA029572174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty