Individual
GHADA RABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
37000 N GANTZEL RD, SAN TAN VALLEY, AZ 85140-7303
(480) 394-4248
(480) 394-4718
Mailing address
1900 N HIGLEY ROAD, ATTN: HOSPITALISTS, GILBERT, AZ 85234
(480) 543-2034
(480) 543-2647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32276
AZ
208M00000X
Hospitalist Physician
Primary
32276
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83011802
—
AZ
01
—
AZ0745510
BCBS
AZ
01
—
P00085971
RR MEDICARE
AZ
Enumeration date
03/23/2006
Last updated
09/24/2015
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