Provider Demographics
NPI:1962210013
Name:RBEIHAT, AHMED
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:RBEIHAT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 S CHITALPA ST APT 3105
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-1007
Mailing Address - Country:US
Mailing Address - Phone:512-993-0802
Mailing Address - Fax:
Practice Address - Street 1:241 S CHITALPA ST APT 3105
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-1007
Practice Address - Country:US
Practice Address - Phone:512-993-0802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver