Provider Demographics
NPI:1134191513
Name:NABI, DILRUBA RASHIDUN (MD)
Entity type:Individual
Prefix:
First Name:DILRUBA
Middle Name:RASHIDUN
Last Name:NABI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 41ST ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3902
Mailing Address - Country:US
Mailing Address - Phone:718-278-5100
Mailing Address - Fax:718-278-6757
Practice Address - Street 1:3180 41ST ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3902
Practice Address - Country:US
Practice Address - Phone:718-278-5100
Practice Address - Fax:718-278-6757
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205570207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01843681Medicaid
NYF81353Medicare UPIN
NY01843681Medicaid