Provider Demographics
NPI:1467955237
Name:ALNABULSI, RAWAA (MD)
Entity type:Individual
Prefix:
First Name:RAWAA
Middle Name:
Last Name:ALNABULSI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 LOCUST ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-2003
Mailing Address - Country:US
Mailing Address - Phone:413-586-0769
Mailing Address - Fax:888-715-2360
Practice Address - Street 1:101 MUNSON ST STE 115
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-9675
Practice Address - Country:US
Practice Address - Phone:413-774-2342
Practice Address - Fax:888-715-2360
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-17
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1019828207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology