MEDICARE: KHALAF RABADI, M.D., P.C.

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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0716741001	OTHER	NJ	AMERIHEALTH
2	PSF0604	OTHER	NJ	1ST OPTION
3	MEP106	OTHER	NJ	OXFORD
4	146654	OTHER	NJ	PA BLUE SHIELD
5	554529	OTHER	NJ	AETNA
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619910932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KHALAF RABADI, M.D., P.C.

Provider Business Mailing Address
First Line	:	2119 KLOCKNER RD
Second Line	:	BUILDING 8, SUITE 34
City	:	HAMILTON
State	:	NJ
Zip	:	08690-3417
Country	:	US
Telephone Number	:	609-586-6500
Fax Number	:	609-586-8694

Provider Business Practice Location Address
First Line	:	2119 KLOCKNER RD
Second Line	:	BUILDING 8, SUITE 34
City	:	HAMILTON
State	:	NJ
Zip	:	08690-3417
Country	:	US
Telephone Number	:	609-586-6500
Fax Number	:	609-586-8694

Authorized Official
Title or Position	:	OWNER
Name	:	KHALAF E RABADI
Credential	:	MD
Telephone Number	:	609-586-6500

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	03/19/2008

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