Provider Demographics
NPI:1538359104
Name:TARABEIN, RASSAN M (MD)
Entity type:Individual
Prefix:DR
First Name:RASSAN
Middle Name:M
Last Name:TARABEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:27535 US HIGHWAY 98
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4839
Mailing Address - Country:US
Mailing Address - Phone:251-625-0909
Mailing Address - Fax:251-380-7390
Practice Address - Street 1:27535 US HIGHWAY 98
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4839
Practice Address - Country:US
Practice Address - Phone:251-625-0909
Practice Address - Fax:251-380-7390
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL181242084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529801790Medicaid
ALP00033163OtherMEDICARE RAILROAD FOLEY
358396601OtherOWCP DAPHNE
AL130017261OtherMEDICARE RAILROAD DAPHNE
AL51506401OtherBCBS FOLEY
AL5940140OtherAETNA
AL51034929OtherBCBS DAPHNE
AL0510010OtherUNITED HEALTHCARE
AL721380230 36526 B001OtherTRICARE
ALJ619OtherMEDICARE GROUP
AL0510348OtherUNITED HEALTHCARE
AL358396600OtherOWCP FOLEY
AL529801790Medicaid
AL000034929Medicare PIN