Isa Abdur-Rahman, RN
Individual provider Active NPI Registered Nurse · Plymouth Meeting, PA
NPI 1497042485 · NPPES record last updated Jun 29, 2011
Key facts
- NPI
- 1497042485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R164386 (MD)
- Practice address
- 2250 Hickory Rd
Plymouth Meeting, PA 19462-1047 - Phone
- (610) 834-1122
- NPI assigned
- Jun 29, 2011
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R164386 | MD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R164386 | MD | Yes |
Addresses
Primary practice location
2250 Hickory Rd
Plymouth Meeting, PA 19462-1047
Mailing address
2250 Hickory Rd
Plymouth Meeting, PA 19462-1047
Other providers in Plymouth Meeting, PA
- Nermeen Abdelmegeed
- Nazanin Abdollahi
- Katrina Abdullah
- Tahir Abdullah
- Jafar Abdulmumin
- Atiyah Abdurraheem
- Karimah Abdussalaam
- Demetra Abel
- Michelle Abel
- Annemarie Abelowitz
All providers in Plymouth Meeting, PA · Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2011. 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.