MEDICARE: DR. FRANK EDWARD RABE MD

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	20390	OK

General Provider Information

NPI Number	:	1770574170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK EDWARD RABE MD

Provider Business Mailing Address
First Line	:	4500 S GARNETT RD
Second Line	:	SUITE 919
City	:	TULSA
State	:	OK
Zip	:	74146-5229
Country	:	US
Telephone Number	:	918-728-6194
Fax Number	:	918-664-2521

Provider Business Practice Location Address
First Line	:	1120 S UTICA AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74104-4012
Country	:	US
Telephone Number	:	918-728-6194
Fax Number	:	918-664-2521

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	11/29/2007

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