Provider Demographics
NPI:1811426364
Name:RAB, AHMED SHABAB ABDUR (MD)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:SHABAB ABDUR
Last Name:RAB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-368-4050
Mailing Address - Fax:585-723-6705
Practice Address - Street 1:105 CANAL LANDING BLVD STE 1
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5107
Practice Address - Country:US
Practice Address - Phone:585-368-4050
Practice Address - Fax:585-723-6705
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2023-01-09
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Provider Licenses
StateLicense IDTaxonomies
NY309247207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine