Healthcare Provider Details

I. General information

NPI: 1891043519
Provider Name (Legal Business Name): RABEA KHEDIMI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2012
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 5TH AVE BLDG 7TH
PITTSBURGH PA
15213-3403
US

IV. Provider business mailing address

3601 5TH AVE BLDG 7TH
PITTSBURGH PA
15213-3403
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-7228
  • Fax:
Mailing address:
  • Phone: 412-647-7228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberFK5112026
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number60271209
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number271209
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: