Individual
ISLAM ABDEL-RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 868-4698
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(764) 747-4492
(317) 222-2126
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01083540A
IN
207LP3000X
Pediatric Anesthesiology Physician
P95998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300038584
—
IN
Enumeration date
04/05/2016
Last updated
07/15/2020
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