Provider Demographics
NPI:1750697702
Name:SHAHAB, RANA (MD, FAAD)
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:SHAHAB
Suffix:
Gender:F
Credentials:MD, FAAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POBOX 9827
Mailing Address - Street 2:SAUDI ARAMCO
Mailing Address - City:DHAHRAN
Mailing Address - State:EASTERN
Mailing Address - Zip Code:31311
Mailing Address - Country:SA
Mailing Address - Phone:96650-581-9669
Mailing Address - Fax:
Practice Address - Street 1:DHAHRAN HEALTH CENTER ROOM 428-5 BUIDLING 61
Practice Address - Street 2:SAUDI ARAMCO
Practice Address - City:DHAHRAN
Practice Address - State:EASTERN
Practice Address - Zip Code:31311
Practice Address - Country:SA
Practice Address - Phone:96650-581-9669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-28
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ04-K-M-2679207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology