MEDICARE: SAAD ALRABAN

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	171M00000X	Case Manager/Care Coordinator
2	164W00000X	Licensed Practical Nurse	LPN.4703132022	MI

General Provider Information

NPI Number	:	1134932130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAAD ALRABAN

Provider Business Mailing Address
First Line	:	37086 HARRISON CT APT 702
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-2063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	37086 HARRISON CT APT 702
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48335-2063
Country	:	US
Telephone Number	:	248-513-1310
Fax Number	:

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

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	12/08/2025

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Directions to “ SAAD ALRABAN ” Practice Location

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