Provider Demographics
NPI:1972779643
Name:AL RABADI, ODAY (MD)
Entity type:Individual
Prefix:
First Name:ODAY
Middle Name:
Last Name:AL RABADI
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 1:2460 S. PARKVIEW LOOP, SUITE 204
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-5358
Mailing Address - Country:US
Mailing Address - Phone:928-336-1675
Mailing Address - Fax:928-336-1676
Practice Address - Street 1:1975 W 24TH ST STE F
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6105
Practice Address - Country:US
Practice Address - Phone:928-341-9522
Practice Address - Fax:928-341-8492
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ47356207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology