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RAJAB KHALIL ABUKHADRAH M.D. NPI 1023083896


NPI Information

NPI: 1023083896
Provider Name: RAJAB KHALIL ABUKHADRAH, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: SOUTH LAKE GASTROENTEROLOGY INC

PECOS Registration: Yes

Address:
2040 OAKLEY SEAVER DR
SUITE 300
CLERMONT, FL
ZIP 34711
Phone: (352) 242-1665
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Rajab Khalil Abukhadrah, M.D. is a specialist in Clermont, FL with 34 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Rajab Khalil Abukhadrah, M.D. NPI is 1023083896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2040 OAKLEY SEAVER DR
SUITE 300
CLERMONT, FL
ZIP 34711-789
Phone: (352) 242-1665
Fax: (352) 243-1649

The NPI 1023083896 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • Biopsy of large bowel using an endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)
  • Removal of hemorrhoid by rubber banding (HCPCS:46221)

The enumeration date for this NPI number is 2/22/2006 and was last updated on 1/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME74082FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1256031300MEDICAIDFLORIDA
2G65092MEDICARE UPINFLORIDA
3E0302MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 1/10/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.