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NPI Code Detail

MEDICARE: DRAHMANE KABA MD

MEDICARE:   DRAHMANE  KABA  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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianME116317FL
2208VP0000XPain Medicine PhysicianME116317FL
3208VP0014XInterventional Pain Medicine PhysicianME116317FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881838340
Entity Type Code : Individual
Provider Name (Legal Business Name) : DRAHMANE KABA MD
Provider Business Mailing Address
First Line : 5365 W ATLANTIC AVE
Second Line : STE 504
City : DELRAY BEACH
State : FL
Zip : 33484-8194
Country : US
Telephone Number : 561-241-9300
Fax Number : 561-241-9339
Provider Business Practice Location Address
First Line : 1693 LEE RD STE B
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-2260
Country : US
Telephone Number : 407-622-5766
Fax Number : 407-622-5767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2009
Last Update Date : 01/28/2022

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