Provider Demographics
NPI:1538040423
Name:ABRAHIM, RANDA M
Entity type:Individual
Prefix:
First Name:RANDA
Middle Name:M
Last Name:ABRAHIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4609 RIVERMAN WAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-1587
Mailing Address - Country:US
Mailing Address - Phone:859-221-9168
Mailing Address - Fax:
Practice Address - Street 1:4609 RIVERMAN WAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-1587
Practice Address - Country:US
Practice Address - Phone:859-221-9168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter