MEDICARE: S. TAHSEEN RAB MD APLLC

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	207RN0300X	Nephrology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	070827888F	OTHER	LA	BCBS PROVIDER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356307862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S. TAHSEEN RAB MD APLLC

Provider Business Mailing Address
First Line	:	16014 DOCTORS BLVD
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70403-1478
Country	:	US
Telephone Number	:	985-340-7868
Fax Number	:	985-340-7866

Provider Business Practice Location Address
First Line	:	16014 DOCTORS BLVD
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70403-1478
Country	:	US
Telephone Number	:	985-340-7868
Fax Number	:	985-340-7866

Authorized Official
Title or Position	:	PRESIDENT
Name	:	S. TAHSEEN RAB
Credential	:	MD
Telephone Number	:	985-340-7868

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	07/12/2021

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