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General NPI Number Information
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NPI Number | 1336427525
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Entity Type | Individual
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Provider Name | ELSAID MOHAMED RABIE MB, BCH
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Gender | Male
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 1900 CENTRACARE CIRCLE SUITE 2400
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City | ST. CLOUD
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State | MN
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Zip | 56303-5000
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Country | US
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Telephone | 320-229-5099
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Fax | 320-229-5171
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Provider Business Mailing Address
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Address Line | 1900 CENTRACARE CIRCLE SUITE 2400
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City | ST. CLOUD
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State | MN
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Zip | 56303-5000
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Country | US
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Telephone | 320-229-5099
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Fax | 320-656-7115
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 100582
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 23646
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 56692
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License Number State | MN
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