Healthcare Provider Details

I. General information

NPI: 1871564716
Provider Name (Legal Business Name): PAUL S RABINOWITZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 PEACHTREE DUNWOODY RD NE
ATLANTA GA
30342-1703
US

IV. Provider business mailing address

5555 PEACHTREE DUNWOODY RD NE
ATLANTA GA
30342-1703
US

V. Phone/Fax

Practice location:
  • Phone: 404-255-9286
  • Fax: 404-250-0740
Mailing address:
  • Phone: 404-255-9286
  • Fax: 404-250-0740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number026362
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: