MEDICARE: DR. RANIA ABOU ELENEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	01073417A	IN

General Provider Information

NPI Number	:	1114156866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANIA ABOU ELENEIN MD

Provider Business Mailing Address
First Line	:	210 S QUINSIGAMOND AVE UNIT 8
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-4470
Country	:	US
Telephone Number	:	862-596-5758
Fax Number	:	833-948-3611

Provider Business Practice Location Address
First Line	:	3501 MASONS MILL RD STE 503
Second Line	:
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-3517
Country	:	US
Telephone Number	:	215-938-7730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2009
Last Update Date	:	01/23/2025

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