MEDICARE: JOSEPH RABE

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	35.139829	OH

General Provider Information

NPI Number	:	1407241474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH RABE

Provider Business Mailing Address
First Line	:	7609 HEMPFIELD LN
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-5218
Country	:	US
Telephone Number	:	314-488-8108
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 WARRINGTON RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-2424
Country	:	US
Telephone Number	:	314-488-8108
Fax Number	:

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

Provider Enumeration Date	:	04/06/2015
Last Update Date	:	04/07/2026

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