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1093798431

NPI Code Detail

MEDICARE: DR. RABIN KATAN NOURANIFAR MD PHD

MEDICARE: DR. RABIN KATAN NOURANIFAR MD PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	4301102041	MI
2	2085R0202X	Diagnostic Radiology Physician	MD460717	PA
3	2085R0202X	Diagnostic Radiology Physician	230983	NY
4	2085R0202X	Diagnostic Radiology Physician	219919	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	563126WUH	OTHER	PA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	469042	OTHER	MA	TUFTS HEALTH PLAN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093798431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RABIN KATAN NOURANIFAR MD PHD

Provider Business Mailing Address
First Line	:	2015 S TUTTLE AVE
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-4151
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 REECEVILLE RD
Second Line	:
City	:	COATESVILLE
State	:	PA
Zip	:	19320-1542
Country	:	US
Telephone Number	:	412-230-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	03/25/2020

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Directions to “ DR. RABIN KATAN NOURANIFAR MD PHD” Practice Location

Language	Start Address	Practice Location

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