Abdul-Rahman Abdel-Reheem

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A191285 Issued in CA

Practice address

757 Westwood Plaza
Otolaryngology
Los Angeles, CA 90095-7419

Phone

(310) 794-8492

NPI assigned

Apr 16, 2021

Last updated

Sep 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Abdul Reheem Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: aabdelreheemmedstudent293466@direct.froedtert.com

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1831770437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLAZA",
            "address_2": "OTOLARYNGOLOGY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957419",
            "telephone_number": "310-794-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLAZA",
            "address_2": "OTOLARYNGOLOGY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957419",
            "telephone_number": "310-794-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL-REHEEM",
        "first_name": "ABDUL-RAHMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-16",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": "9485-851",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A191285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDUL",
            "last_name": "REHEEM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eman Abdallah, D.O.
• Sara Mohammad Abdallah, PA-C
• Yacoub Abdallah, DPT
• Hisham Mohamed Abdel-Azim, MD
• Danna Salam Abdel-Khader, MD
• Dina Abdelaal
• Mina Abdelaziz
• Hanan Bashar Abdelfattah, PA
• Dana Abdelgadir
• Gihad Abdelhady

• Otolaryngology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.