Individual provider · NPI-1

Rula Abdulrahman, M.D.

Internal Medicine, Nephrology · Stony Brook, NY

NPI number1790180776
StatusActive
Last updated in NPPESSep 9, 2019

Details

NPI
1790180776
Entity type
Individual (NPI-1)
Name
Rula Abdulrahman
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2014
Last updated
Sep 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology298915NYYes
207RN0300X Internal Medicine, Nephrology298915-1NY
390200000X Student in an Organized Health Care Education/Training Program–NY

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-4423

Phone 631-444-1665

Mailing address

Po Box 1559
Stony Brook, NY 11790-0989

Phone 859-684-0701

Other practice locations

327 Beach 19th St
Far Rockaway, NY 11691-4423

Phone 718-869-7000

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