Individual provider · NPI-1

Islam Abdel-Rahman, MD

Anesthesiology · Lafayette, IN

NPI number1932562089
StatusActive
Last updated in NPPESJul 15, 2020

Details

NPI
1932562089
Entity type
Individual (NPI-1)
Name
Islam Abdel-Rahman
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 5, 2016
Certification date
Jul 15, 2020
Last updated
Jul 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology01083540AINYes
207LP3000X Anesthesiology, Pediatric AnesthesiologyP95998NY

Practice location

5165 Mccarty Ln
Lafayette, IN 47905-8764

Phone 765-448-8000 · Fax 765-868-4698

Mailing address

1200 W White River Blvd
Muncie, IN 47303-4988

Phone 764-747-4492 · Fax 317-222-2126

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