Healthcare Provider Details
I. General information
NPI: 1174731970
Provider Name (Legal Business Name): RABESSLER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2007
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1800 W CHARLESTON BLVD
LAS VEGAS NV
89102-2329
US
IV. Provider business mailing address
5410 MARYLAND WAY SUITE 300
BRENTWOOD TN
37027-5064
US
V. Phone/Fax
- Phone: 615-377-5600
- Fax: 888-241-1404
- Phone: 615-377-5600
- Fax: 888-241-1404
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LAURA
FALL
Title or Position: MANAGER
Credential:
Phone: 253-682-6040