RAWAA EBRAHEM M.D. NPI 1104206077

NPI Information

NPI: 1104206077
Provider Name: RAWAA EBRAHEM, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Organization: ARTHRITIS AND RHEUMATOLOGY CLINICS OF KANSAS LLC

PECOS Registration: Yes

Address:
1921 N WEBB RD
WICHITA, KS
ZIP 67206
Phone: (316) 612-4815
Get Directions

Rawaa Ebrahem, M.D. is a rheumatology internal medicine in Wichita, KS with 18 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Rawaa Ebrahem, M.D. NPI is 1104206077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1921 N WEBB RD
WICHITA, KS
ZIP 67206-405
Phone: (316) 612-4815
Fax: (316) 612-4825

The NPI 1104206077 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 enumeration date for this NPI number is 6/4/2015 and was last updated on 1/7/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		94-08572	KANSAS	No
2	207RR0500X	Internal Medicine	Rheumatology	TRN27052	FLORIDA	Yes
3	207RR0500X	Internal Medicine	Rheumatology	04-43181	KANSAS	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201294670A	MEDICAID	KANSAS

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: 11/14/2023

NPI Synchronization or Removal

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