Physician Compare National (NPI:1013059211)

HEALTHCARE PROVIDER: RANIA ABDEL-RAHMAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013059211
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830280478
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100913000832
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABDEL-RAHMAN
	Individual professional last name
Provider First Name	RANIA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	4168 SOUTHPOINT S PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	JACKSONVILLE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	322160913
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100307
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST VINCENT'S MEDICAL CENTER SOUTHSIDE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100179
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEMORIAL HOSPITAL JACKSONVILLE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100040
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST VINCENT'S MEDICAL CENTER RIVERSIDE
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100088
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BAPTIST MEDICAL CENTER JACKSONVILLE
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y