Healthcare Provider Details

I. General information

NPI: 1518300342
Provider Name (Legal Business Name): RABHEH ABDUL AZIZ M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 05/09/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 BRYANT STREET
BUFFALO NY
14222-2006
US

IV. Provider business mailing address

1001 MAIN STREET RHEUMATOLOGY CLINIC
BUFFALO NY
14203
US

V. Phone/Fax

Practice location:
  • Phone: 716-878-1689
  • Fax:
Mailing address:
  • Phone: 716-323-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number284820
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number284820
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: