Provider Demographics
NPI:1013909019
Name:RABIN, RONALD P (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:P
Last Name:RABIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 HOUMA BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2933
Mailing Address - Country:US
Mailing Address - Phone:504-454-0755
Mailing Address - Fax:504-780-2558
Practice Address - Street 1:4224 HOUMA BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2933
Practice Address - Country:US
Practice Address - Phone:504-454-0755
Practice Address - Fax:504-780-2558
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.010955208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1301523Medicaid
LA1301523Medicaid
LA010955Medicare UPIN