MEDICARE: DR. ROLA RABAH DDS, 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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	108607	CA

General Provider Information

NPI Number	:	1699249086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROLA RABAH DDS, MD

Provider Business Mailing Address
First Line	:	7551 TIMBERLAKE WAY STE 120
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5421
Country	:	US
Telephone Number	:	916-806-7966
Fax Number	:

Provider Business Practice Location Address
First Line	:	7551 TIMBERLAKE WAY STE 120
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5421
Country	:	US
Telephone Number	:	916-423-4092
Fax Number	:

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

Provider Enumeration Date	:	01/18/2019
Last Update Date	:	09/13/2023

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