Individual
RABII MADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3671
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
(706) 724-1600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
067062
GA
208800000X
Urology Physician
067062
GA
208800000X
Urology Physician
35.094639
OH
208800000X
Urology Physician
E-4785
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06070017400
QUALCHOICE
AR
05
—
162839001
—
AR
05
—
2511107
—
OH
01
—
536754
WELLCARE
OH
01
—
P00365084
RAILROAD MEDICARE
AR
01
—
P00880292
RAILROAD MEDICARE
OH
Enumeration date
09/22/2006
Last updated
10/04/2013
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