Rakan Bandar Alharbi, DDS
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Farmington, CT
NPI 1235013244 · NPPES record last updated Sep 9, 2025
Key facts
- NPI
- 1235013244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 14557 (CT)
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-0002 - Phone
- (860) 679-2000
- NPI assigned
- Aug 4, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14557 | CT | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 14557 | CT | Yes |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-0002
Mailing address
267 Main St Apt 313
New Britain, CT 06051-2202
Phone (959) 216-5126
Other providers in Farmington, CT
- Erin Alday
- Santiago Alday
- Catherine Alessi
- Aurelian Jovita Alexander
- Feryal Alhamadani
- Ali Alkabasi
- Abdel Rahman Alkasabrah
- Ramzi Alkass
- Amanda Natalie Allan
- Brian Michael Allen
All providers in Farmington, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.