Healthcare Provider Details

I. General information

NPI: 1356087654
Provider Name (Legal Business Name): DR. RABAB ABDELMAGEED ELSADEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 W NEWBERRY RD
GAINESVILLE FL
32605-4392
US

IV. Provider business mailing address

PO BOX 100226
GAINESVILLE FL
32610-0226
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-5980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME173639
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME173639
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: