MEDICARE: DR. RITA Y RAHBANY M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	0074470	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
12	460002737	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0007978013	OTHER	FL	AETNA
2	200-1470	OTHER	FL	FIRST HEALTHCARE
3	043803657	OTHER	FL	HEALTH CHOICE HEALTHCARE
4	21171049286	OTHER	FL	BEECH STREET
5	04-3803657	OTHER	FL	UNITED HEALTHCARE
6	043803657	OTHER	FL	PHCS HEALTHCARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	264383	OTHER	FL	AV-MED HEALTHCARE
9	4099709012	OTHER	FL	CIGNA
10	46901	OTHER	FL	BLUE CROSS BLUE SHIELD
11	289504	OTHER	FL	WELLCARE HEALTHCARE
13	G95309	OTHER	FL	FL HOSPITAL HEALTHCARE

General Provider Information

NPI Number	:	1104911452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITA Y RAHBANY M.D.

Provider Business Mailing Address
First Line	:	9166 UNIVERSITY BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-1709
Country	:	US
Telephone Number	:	407-673-4600
Fax Number	:	407-673-4601

Provider Business Practice Location Address
First Line	:	9166 UNIVERSITY BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32817-1709
Country	:	US
Telephone Number	:	407-673-4600
Fax Number	:	407-673-4601

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	04/29/2014

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