Individual provider · NPI-1

Abdl-Rawf Al-Nowaylati, M.D.

Surgery, Plastic and Reconstructive Surgery · Atlanta, GA

NPI number1770921983
StatusActive
Last updated in NPPESJan 15, 2026

Details

NPI
1770921983
Entity type
Individual (NPI-1)
Name
Abdl-Rawf Al-Nowaylati
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 10, 2013
Certification date
Jan 15, 2026
Last updated
Jan 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive Surgery92452GAYes
2086S0122X Surgery, Plastic and Reconstructive SurgeryW2477TX
2086S0122X Surgery, Plastic and Reconstructive Surgery4301504883MI

Practice location

550 Peachtree St Ne Fl Mot9
Atlanta, GA 30308-2247

Phone 404-686-4411

Mailing address

1500 E. Medical Center Dr.
2130 Taubman Center, Spc 5340
Ann Arbor, MI 48109

Phone 734-232-4598

Other practice locations

909 Ese 323 Loop
Ste 777
Tyler, TX 75701

Phone 903-606-8888

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