Individual provider · NPI-1

Dr. Issa Y Al Rabadi, M.D.

Family Medicine · Bismarck, ND

NPI number1104249507
StatusActive
Last updated in NPPESJun 6, 2023

Details

NPI
1104249507
Entity type
Individual (NPI-1)
Name
Dr. Issa Y Al Rabadi
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 22, 2014
Certification date
Jun 6, 2023
Last updated
Jun 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine13746NDYes
208M00000X Hospitalist13746ND

Practice location

900 E Broadway Ave
Bismarck, ND 58501-4520

Phone 701-530-7000

Mailing address

Po Box 997
Bismarck, ND 58502-0997

Phone 701-530-7000

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