MEDICARE: RANA EL SABBAGH M.D.

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	320667	LA

General Provider Information

NPI Number	:	1508259540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANA EL SABBAGH M.D.

Provider Business Mailing Address
First Line	:	309 TRAVAILLER RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-6425
Country	:	US
Telephone Number	:	216-703-5979
Fax Number	:

Provider Business Practice Location Address
First Line	:	2308 E MAIN ST STE E
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-4029
Country	:	US
Telephone Number	:	337-374-7156
Fax Number	:	337-456-9056

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

Provider Enumeration Date	:	03/16/2015
Last Update Date	:	01/24/2020

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