Brandywine Valley Infectious Diseases Associates LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD052706L Issued in PA

Legal business name

BRANDYWINE VALLEY INFECTIOUS DISEASES ASSOCIATES LLC

Practice address

213 Reeceville Rd
Suite 27
Coatesville, PA 19320-1528

Phone

(610) 383-9333

Fax

(610) 383-1183

NPI assigned

May 23, 2006

Last updated

Oct 28, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raida Rabah, MDNPI 1538164579

Title

Owner

Phone

(610) 383-9999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raida Rabah, M.D.

  • Infectious Disease Physician
  • Coatesville, PA
  • NPI 1538164579
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1760437529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 REECEVILLE RD",
            "address_2": "SUITE 27",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201528",
            "telephone_number": "610-383-9333",
            "fax_number": "610-383-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 REECEVILLE RD",
            "address_2": "SUITE 27",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201528",
            "telephone_number": "610-383-9333",
            "fax_number": "610-383-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE VALLEY INFECTIOUS DISEASES ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "RABAH",
        "authorized_official_first_name": "RAIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-383-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD052706L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014877980005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandywine Hospital Medical Transport LLC (Medic 93)
• Brandywine Hospital, LLC (Brandywine Hospital)
• Brandywine Hospital, LLC (Brandywine Hospital)
• Brandywine Hospital, LLC (Brandywine Hospital)
• Brandywine Radiological Group
• Brandywine Valley Neurosurgery and Spine LLC
• Jarrell Brazzle, MA
• Marie Brislin, MD
• John E. Brittan I
• Christina Jane Brochet, MA, RD, LDN, CDCES

• Infectious Disease Physician in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.