MEDICARE: DR. MICHAEL A RUBIN 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	207RC0000X	Cardiovascular Disease Physician	2603	VI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4099597	OTHER	TN	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427050285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A RUBIN MD

Provider Business Mailing Address
First Line	:	8989 FOREST HILL IRENE CV
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38139-6619
Country	:	US
Telephone Number	:	901-517-4048
Fax Number	:	901-206-2216

Provider Business Practice Location Address
First Line	:	4100 SION FARM SHOPP CTR STE 8
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4433
Country	:	US
Telephone Number	:	340-208-0910
Fax Number	:	901-206-2216

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	06/20/2025

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