Provider Demographics
NPI:1699132159
Name:TAYEB, RIHAB
Entity type:Individual
Prefix:
First Name:RIHAB
Middle Name:
Last Name:TAYEB
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 1:1865 WELSH RD
Mailing Address - Street 2:APT O-9
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-4764
Mailing Address - Country:US
Mailing Address - Phone:267-269-7839
Mailing Address - Fax:
Practice Address - Street 1:5694 RISING SUN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-1645
Practice Address - Country:US
Practice Address - Phone:267-269-7839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist