Individual
DR. RANA ABDUL-KHALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 PRAIRIE ROSE DR, ROSCOE, IL 61073-7792
(815) 971-2000
(815) 971-9070
Mailing address
39 KENT RD, SUITE 1, TIFTON, GA 31794-1698
(229) 391-4130
(229) 391-4138
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036125328
IL
207V00000X
Obstetrics & Gynecology Physician
072447
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125328
—
IL
01
—
10193
MERCY CARE
—
01
—
1275768087
BLUE CROSS BLUE SHIELD
—
05
—
1275768087
—
WI
Enumeration date
05/22/2009
Last updated
07/10/2023
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