Individual provider Active NPI

Rabab Radi Gomaa Mahmoud Abdelwahed, MD, PHD

  • Anatomic Pathology Physician
  • Seattle, WA
National Provider Identifier
1861287641
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
MDRE.ML.61666651 Issued in WA
Practice address
1705 NE Pacific St Box 357470
Seattle, WA 98195-0001
Phone
(206) 543-1140
NPI assigned
Apr 11, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X MDRE.ML.61666651 WA Primary

Addresses

Primary practice location

1705 NE Pacific St Box 357470
Seattle, WA 98195-0001

Mailing address

13219 NE 36TH St
Bellevue, WA 98005-1377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20250423003595 WA Order and Referring Only - PathologyPractitioner - Pathology 5092231910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MDRE.ML.61666651WAMDAnatomic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1861287641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13219 NE 36TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 NE PACIFIC ST BOX 357470",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELWAHED",
        "first_name": "RABAB",
        "middle_name": "RADI GOMAA MAHMOUD",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "WA",
            "license": "MDRE.ML.61666651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.