MEDICARE: AHMAD MUSTAFA RABI D.D.S.

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	122300000X	Dentist	8263	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376662783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMAD MUSTAFA RABI D.D.S.

Provider Business Mailing Address
First Line	:	912 BRESSLYN RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-1243
Country	:	US
Telephone Number	:	615-972-8725
Fax Number	:

Provider Business Practice Location Address
First Line	:	13181 OLD NASHVILLE HWY
Second Line	:	SUITE 110
City	:	SMYRNA
State	:	TN
Zip	:	37167-4032
Country	:	US
Telephone Number	:	615-459-9296
Fax Number	:	615-459-9286

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	10/23/2013

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