Provider Demographics
NPI:1144270414
Name:RABITO, FELIX GUSTAVE SR (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:GUSTAVE
Last Name:RABITO
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:740 BOCAGE LN
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-1608
Mailing Address - Country:US
Mailing Address - Phone:985-845-7801
Mailing Address - Fax:
Practice Address - Street 1:19343 SUNSHINE AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8834
Practice Address - Country:US
Practice Address - Phone:985-898-0289
Practice Address - Fax:985-898-0482
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAL#007583207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAB65344Medicare UPIN