Provider Demographics
NPI:1992798839
Name:ALRAJABI, RAED MOH'D TAISEER (MD)
Entity type:Individual
Prefix:DR
First Name:RAED
Middle Name:MOH'D TAISEER
Last Name:ALRAJABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2107 CONDOLEA CIR
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-1607
Mailing Address - Country:US
Mailing Address - Phone:810-695-4537
Mailing Address - Fax:
Practice Address - Street 1:2330 SHAWNEE MISSION PKWY
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205-2005
Practice Address - Country:US
Practice Address - Phone:913-588-3802
Practice Address - Fax:810-762-7245
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIRA081088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI449980910Medicaid
MIH83600Medicare UPIN
MI449980910Medicaid