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Individual

DR. EBAA RAJAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3130 N DIXIE HWY, TROY, OH 45373-1337
(614) 459-7830
(614) 459-7824
Mailing address
3366 RIVERSIDE DRIVE, SUITE 200, COLUMBUS, OH 43221
(614) 459-7830
(614) 459-7824

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35082226
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000324369
ANTHEM PROVIDER #
OH
05
2379082
OH
Enumeration date
04/24/2006
Last updated
06/16/2016
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