Provider Demographics
NPI:1699798645
Name:RABIN, RONALD A (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:A
Last Name:RABIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 E EASTMAN AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4376
Mailing Address - Country:US
Mailing Address - Phone:303-369-3002
Mailing Address - Fax:303-369-3006
Practice Address - Street 1:7600 E EASTMAN AVE
Practice Address - Street 2:STE 400
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4376
Practice Address - Country:US
Practice Address - Phone:303-369-3002
Practice Address - Fax:303-369-3006
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO202642084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01202647Medicaid
CO01202647Medicaid