Individual
DR. RAJAB IDRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 S UNIVERSITY BLVD UNIT 6000, MOBILE, AL 36608-3274
(251) 660-5555
(251) 660-5559
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L.5314SP
AL
207RI0008X
Hepatology Physician
275246
MA
390200000X
Student in an Organized Health Care Education/Training Program
275426
MA
Other
Enumeration date
04/27/2018
Last updated
08/28/2020
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