1952668915 NPI number — DR. EALAF AHMED ALRABIA M.D

Table of content: DR. EALAF AHMED ALRABIA M.D (NPI 1952668915)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952668915 NPI number — DR. EALAF AHMED ALRABIA M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALRABIA
Provider First Name:
EALAF
Provider Middle Name:
AHMED
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952668915
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/14/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1501 N CAMPBELL AVENUE, 6TH FLOOR
Provider Second Line Business Mailing Address:
DEPARTMENT OF NEUROLOGY, 6TH FLOOR
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85724
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-694-8888
Provider Business Mailing Address Fax Number:
520-694-0235

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1501 N CAMPBELL AVENUE, 6TH FLOOR
Provider Second Line Business Practice Location Address:
DEPARTMENT OF NEUROLOGY, 6TH FLOOR
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-694-8888
Provider Business Practice Location Address Fax Number:
520-694-0235
Provider Enumeration Date:
04/16/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084V0102X , with the licence number: 51998 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)