Active NPI
Rabah Ali Islam
- Driver
- Richardson, TX
National Provider Identifier
1467291203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 22463213
- Practice address
- 446 Highland Blvd
Richardson, TX 75081-4210 - Phone
- (214) 642-6794
- NPI assigned
- May 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 22463213 | TX | Primary |
Addresses
Primary practice location
446 Highland Blvd
Richardson, TX 75081-4210
Mailing address
446 Highland Blvd
Richardson, TX 75081-4210
Phone (214) 642-6794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22463213 | TX | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1467291203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 HIGHLAND BLVD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750814210",
"telephone_number": "214-642-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 HIGHLAND BLVD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750814210",
"telephone_number": "214-642-6794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAM",
"first_name": "RABAH",
"middle_name": "ALI",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-21",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TX",
"license": "22463213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.