Individual
RAWAA EBRAHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1921 N WEBB RD, WICHITA, KS 67206-3405
(316) 612-4815
(316) 612-4825
Mailing address
1921 N WEBB RD, WICHITA, KS 67206-3405
(316) 612-4815
(316) 612-4825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
94-08572
KS
207RR0500X
Rheumatology Physician
04-43181
KS
207RR0500X
Rheumatology Physician
Primary
TRN27052
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201294670A
—
KS
Enumeration date
06/04/2015
Last updated
01/07/2021
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